Professional Documents
Culture Documents
3. Failing which I understand and admit that my eligibility and application including permit
obtained hereto stands to be automatically cancelled and/or revoked at the option of the
City Government of Antipolo and the latter is not to be held responsible for the same.
4. I am executing this statement to attest to the truth of the foregoing and for whatever lawful
purpose this may serve.
IN WITNESS WHEREOF, I hereby set our hands this _____ of day _____ in ___________________
_____________________________
NAME AND DESIGNATION
NOTARY PUBLIC