Republic of the Philippines)

Province of ________________)S.S.
City/Municipality of _____________)
x-------------x

AFFIDAVIT OF CHANGE BODY

I, RENATO REYES ALQUIZAR, Filipino, of legal age, (single / married / widow), and a resident
of SINGCANG AIRPORT BACOLOD CITY , Philippines, after being sworn to in accordance
with law, depose and stateTat I am the registered owner of the said motor vehicle.

And I JOEL DAULONG JR with adress at SICANG AIRPORT BACOLOD CITY will be the
mechanic to install the sidecar of the said unit. Details are indicated as follows:

Make: SUZUKI
Model: FW110D
Engine:E489-195201
Frame :BE4EX-214966
Color:BLACK

That the original body type of the said motor vehicle was "MC PRIVATE WITHOUT SIDECAR";

That to have more use of the said vehicle in my business, I have decided to change the body
type of the said vehicle from "MC PRIVATE WITHOUT SIDECAR" to "MC WITH SIDECAR";

That the change of body type is not intended for any illegal or unlawful purpose but solely due to
the foregoing reasons;

That I am executing this Affidavit to attest to the truth of the foregoing and in support of the
application for the change of body type of the above-described motor vehicle on its Certificate
of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in

_____________, Philippines.

RENATO R. ALQUIZAR JOEL DAULONG JR

AFFIANT MECHANIC

Page No. : _______

Book no.:_________
Doc.no:__________
Series of:________