Republic of the Philippines)

City of Davao )
X…………………….….X

AFFIDAVIT OF UNDERTAKING

I, __________________________________, of legal age, Filipino, married/single and

with a postal address at __________________________________________________________,
Davao City, Philippines, after having been duly sworn to law, do hereby depose and say:

That I am the same person and identical person who caused the execution of this
affidavit;

That I am the registered owner of a business engaged as __________________________

with a business name: ___________________________________________________________
and business address: ___________________________________________________________
bearing Permit No.: ______________________ and Business ID No.:_____________________
Contact No.: ___________________________

That promise to attend the seminar on: (please check)

_______ Meat Handling and Its Relevant Provisions

_______ Fish Handling and Its Relevant Provisions

to be conducted by the City Veterinarian’s Office, City of Davao;

That I am executing this affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this _________ day of

_______________________, at Davao City, Philippines.

__________________
Affiant

SUBSCRIBED AND SWORN to before me this ____________________________day of

_________________________ at Davao City, Philippines.

Doc. No. _________________;

Page No. _________________;
Book No. _________________;
Series of 201______
Business Category: (New and Blocked)
1. Meat Vendor/Dealer/Retailer/Supplier/Distributor and Retailer of meat
2. Meat Processor/lechon (manok/baboy/baka)
3. Meat Shop
4. Meat Van Operator
5. Dressing Plant and Slaughterhouses
6. Fish Vendor/Dealer/Retailer/Supplier/Distributor and Retailer of fish
7. Dried Fish and Salted Fish Vendor/ Retailer/Supplier/Distributor
8. Tahong Vendor/ Retailer/Supplier/Distributor
9. Livestock Dealer
10. Live Chicken Retailer/Dealer/Supplier

Requirement:
1. Affidavit of Undertaking notarized by a lawyer

Business Category: (New and Blocked)

1. Farm Animals
a. Piggery/ Hog Raising/Swine Raising
b. Cattle Raising
c. Goat Raising
d. Poultry Farm/Poultry Production
d1. Native/Broiler/Layer/Ducks/Gamefowl/Turkey/Quail

Requirements:
1. Affidavit of Undertaking
2. Farm Inventory Form
 Republic of the Philippines
City of Davao City of Davao
OFFICE OF THE CITY VETERINARIAN OFFICE OF THE CITY VETERINARIAN
FARM INVENTORY 2014 FARM INVENTORY 2014

Name of Farm:______________________________ Name of Farm:______________________________

Name of Owner: ____________________________ Name of Owner: ____________________________
Address of Farm: ____________________________ Address of Farm: ____________________________

Area (ha.) :_________________________________ Area (ha.) : _________________________________

Type: Type:
Livestock Poultry Livestock Poultry
Piggery Chicken Piggery Chicken
Cattle Native/Improved Cattle Native/Improved
Carabao Broiler Carabao Broiler
Sheep Layer Sheep Layer
Goat Ducks Goat Ducks
Horse Gamefowl Horse Gamefowl
Turkey Turkey
Quail Quail

Classification: Classification:
Backyard Backyard
Commercial Commercial

Production: Production:
Volume (Population) : Volume (Population) :
Value : Php Value : Php

Name & Signature Date Name & Signature Date

Republic of the Philippines Republic of the Philippines

City of Davao City of Davao
OFFICE OF THE CITY VETERINARIAN OFFICE OF THE CITY VETERINARIAN
FARM INVENTORY 2014 FARM INVENTORY 2014

Name of Farm:______________________________ Name of Farm:______________________________

Name of Owner: ____________________________ Name of Owner: ____________________________
Address of Farm: ____________________________ Address of Farm: ____________________________

Area (ha.) : _________________________________ Area (ha.) : _________________________________

Type: Type:
Livestock Poultry Livestock Poultry
Piggery Chicken Piggery Chicken
Cattle Native/Improved Cattle Native/Improved
Carabao Broiler Carabao Broiler
Sheep Layer Sheep Layer
Goat Ducks Goat Ducks
Horse Gamefowl Horse Gamefowl
Turkey Turkey
Quail Quail

Classification: Classification:
Backyard Backyard
Commercial Commercial

Production: Production:
Volume (Population) : Volume (Population) :
Value : Php Value : Php

Name & Signature Date Name & Signature Date