Republic of the Philippines...

}
Province of Sorsogon
Municipality of GUBAT } S.S.

AFFIDAVIT/SECRETARY’S CERTIFICATE

I, _________________________________________________________________________, of legal age, Filipino

citizen and a resident of _______________________________________________________________, after having been
duly sworn to in accordance with law hereby depose and say - that:

1) That I am the
______________________________of____________________________________________________________________
(Position) (Name of Organization/Association)
with registered address at _____________________________________________________________________;

2) That I am also the custodian of the record, documents, minutes and resolutions of the
Regular/Special Meeting of said association;

3) That at the ______________________________________________________________________________

(state if regular/special meeting/ nature of meeting)
held on _________________________________ at _____________________________________________
(date of meeting) (place of meeting)

Province of Sorsogon, during which a quorum was present and acted throughout, the
following resolution was unanimously approved:

“___________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________;

4) That the foregoing resolution (attached hereto as Annex A) has not been altered,
modified nor revoked and that the same is now in full force and effect; and

5) That I am executing this affidavit to attest to the truth of the foregoing statements
under pain of perjury for whatever legitimate purposes it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this __________ of __________________ 2023 at

Gubat, Sorsogon, Philippines.

_______________________________________
Affiant/Secretary

SUBSCRIBED AND SWORN to before me this this __________ of __________________ 2023 at

at Gubat, Sorsogon, Philippines by herein affiant exhibiting to me his/her
____________________________________________________________________.

PAO-RV-GUB-2023-04- 04 NJ