AFFIDAVIT OF FULL DISCLOSURE
KNOW ALL MEN BY THESE PRESENTS:
1 JOHNA.VISCA__, Filipino, of legal age, and residing at
#586 5" St, Salinas I, Bacoor City, Cavite , after having been duly
sworn to in accordance with law, hereby depose and state, that:
1. Ihave not made any unnecessary interaction with the tobacco industry;
OR
My interaction with the tobacco industry was strictly necessary for the latter's
effective regulation, supervision or control, specifically:
(Please provide a description of the nature and extent of such interaction.)
= N/A
2. [have not provided any incentive, privilege, benefit or exemption to the tobacco
industry;
OR
The following are the incentives, privileges, benefits or exemptions that | nave
granted to the tobacco industry:
(Kindly specify the incentive, privilege, benefit or exemption granted and the legal
basis thereof.)
3. I have not solicited or accepted, directly or indirectly, any gift, gratuity, favor,
entertainment, loan or anything of monetary value in the Course of my official duties
07 in connection with any operation being regulated by, or any transaction which
may be affected by the functions of my office from any person or business related to
the tobacco industry;
4. 1 do not, directly or indirectly, have any financial or material interest in any
transaction involving the tobacco industry requiring the approval of my office;namely
(IF APPLICABLE) On N/A Ihave divested myself of the following
shareholdings or interest N/A (please specify
shareholding or interest in ‘the tobacco industry) in A aes
(please specify tobacco industry) within sixty (60) days from
N/A the date of my assumption of office in the government;
A, have resigned as
ta of N/A ‘please specify last position
‘occupied and tobacco industry involved) within thity (30) days from
N/A____ the date of my assumption of office in the government
(IF APPLICABLE) On N/A :
N/A
f my position involves setting and implementing public health policies with respect,
to tobacco control, | have informed my agency of my intention to engage in an
Occupational activity within the tobacco industry, whether gainful or not, within a
specified period of time after leaving the service; and
| have not accepted or have any member uf my family accept employment or
fecommend anyone to any position in any private enterprise connected with the
tobacco industry which has a regular or pending official transaction with my
agency.
IN WITNESS WHEREOF, | have hereunto set my hand thJUN 0 2daVc
in
JOHN, VISCA
ONAN
SUBSCRIBED AND SWORN to before me, this in
aifiant exhibiting to me, font evidence of identity
Parafiaaue City
‘Rot No, $8083 / 4731/10
Doe. No. de 7068) ‘St. Jachllouvlle Subd, BF, Pave
ie
Page No,
No, 134103 / 1200920 | Pasig Cy
Book-No. 4"; PTR No, 2570806 01042 | Pave Cty
Series of 245.2009 MCLE Com. No, 0019512 0228/19 Pasi Oy