AFFIDAVIT OF UNDERTAKING

(30 DAYS CLEARANCE)

REPUBLIC OF THE PHILIPPINES

CITY/MUNICIPALITY OF ______________

AFFIDAVIT OF UNDERTAKIN G
I, _______________________________ of legal age, _____ and a resident of
___________________________________ after having been duly sworn to in accordance with
the law, depose and say:

1. That I am the authorized representative of _________________ located at

_____________________________________________________________________.

2. That I undertake to submit required clearances from the other agencies as stipulated under
Section 302 (12) b of the IRR of the National Building Code of the Philippines, and other
documents or clearances from government authorities as maybe provided by local ordinances
and/or national laws to the Office of the Building Official (OBO) within 30 calendar days after
the issuance of Building Permit.

3. That I executed this affidavit of undertaking for and in behalf of the said establishment.
Default or failure to submit permits/clearances after 30 calendar day shall subject to the
suspension of the Building Permit and its construction. Failure to submit permits/clearances
shall be dealt with in accordance to Section 306 of the NBCP.

4. That I further executed this undertaking to attest to truth and veracity of the foregoing
statements and for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _______day of

__________, 2023.

___________________________
Name of Applicant

SUBSCRIBED and sworn to before me, this day of _____________, in the City/Municipality
of ________________________ by ___________________________________ with
______________________________ (Proof of Identification/Identification Number), issued on
________________________ at _________________________________

Doc. No. _________; NOTARY PUBLIC for ______________

Page No. _________; Commission Serial No. _____________
Book No. _________; Until December 31, _______
Series of _________; Roll of Attorney ___________
IBP No. ________/_______/__________
PTR No. ________/_______/_________