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AFFIDAVIT OF COMPLIANCE WITH PGC AND PDC

REPUBLIC OF THE PHILIPPINES }


CITY OF } SS

I, , of legal age, single/married, residing at


, for and in behalf of
, after being sworn in accordance with law,
(Name of Company)
depose and say:

That I am the President/Owner of ;


(Name of Company)

That I attest to the fact that each of the Generating Facilities of the above said
company complies with and will continue to comply with the Philippine Grid Code and
Philippine Distribution Code for the duration of the Certificate of Compliance.

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


,20 , in the City of , Philippines.
(Signature of affiant)

SUBSCRIBED and sworn to before me, in the City of ,


this day of , 20__ by with Community Tax
Certificate No. issued at on
, 20 .

NOTARY PUBLIC
Until December 31, 20

Doc. No. ;
Page No. ;
Book No. ;
Series of 20

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