REPUBLIC OF THE PHILIPPINES 

  )

City of (Place)                                     ) S.S.

x-----------------------x

AFFIDAVIT OF NON-OPERATION
I, the undersigned Director and President of a corporation under the corporate name
of (NAME OF CORPORATION) , a corporation duly organized and existing by virtue of the
laws of the Republic of the Philippines, with principal office at (Principal Office Address of the
Corporation), Philippines, DO HEREBY CERTIFY:

1.      That since the year 2013, the aforesaid corporation  has ceased its operation and did not conduct
any transaction of its business until the present date.

2.      As such, I am executing this affidavit to attest to the truth of the foregoing, and for purposes of
appropriate action by the Securities and Exchange Commission and other agencies.

IN WITNESS WHEREOF, I have hereunto set my hand

this (Day) of (Month), (Year) in (Place), Philippines.

(NAME OF COMPANY PRESIDENT)

Director / President

SUBSCRIBED AND SWORN to before me, this (Day) of (Month), (Year) in (Place),

Philippines, by the Affiant whom I have identified through competent evidence of identity and
who exhibited his ________________________ issued at ______________ valid until
______________.

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of _____.