AFFIDAVIT OF DESIGNATED REPRESENTATIVE OF THE PROPONENT Matilde B. Delmendo_, hereby designate Marie Fe P. Egar_as my oficial representative on DELMENDO RICEMILL with respect to the filing of Compliance Monitoring Report (CMR) in ‘accordance with Section 19 (a) of the Revised Procedural Manual for DENR Administrative Order No. 30, Series of 2003 and to confirm THAT: 1 All the Information and commitments in this Compliance Monitoring Report (CMR) dated for the _DELMENDO RICEMILL with ECC Ref. No.POA-18A-011S31-033 ~are accurate and complete to the best of our knowledge and documents available on file; 2. No DENR-EMB personnel was directly involved in the preparation of this Compliance ‘Monitoring Report (CMR); and 3.1 hereby bind myself to answer any penalty that may be imposed arising from any "misrepresentation or fallure to state material information in this CMR REPORT; This designation will remain in effect until revoked by written notice. IN WITNESS WHEREOF, hereby st my hand tis day of — Mataaube MATILDE 8. DELMENDO [NAME OF PROPONENT HEAD ‘OWNER i DELMENDO RICEMILL ~~ ‘alii # uiaio 10 No.0001-1738616-7 ‘CONFORME: MARIE FE P. EGAR Name of Representative (Valid 1 No.)VOTER 1b NO.2827-00398-62590MPE20000 05 APR 2021 SUBSCRIBED AND SWORN to before me this —— day of —— —________Affiant exhibited to me his/her respective official identifying —— documents as stated above which are competent evidence of identity Doc. No. Page No. = Series of,