AFFIDAVIT OF UNDERTAKING

(BUSINESS PERMIT)

I, ___________________________, of legal age, Filipino, and resident of (Purok,

Barangay, District, Davao City, Philippines), after having been duly sworn in accordance
with the law, do hereby depose and say:
1. That I occupied a space situated at _________________________________
and the registered owner of the _____________________________________;
2. That I do hereby undertake myself that I shall voluntarily vacate the premises
and/or cease any activity relative to the application in the abovementioned
address in the event that any valid complaint/s will arise in the future;
3. That I further undertake to indemnify and/or hold the Office of the City
Planning and Development Coordinator of Davao City, its officers and staff, free
and harmless from any suit, claim, expenses, damages and liabilities the City
Planning and Development Coordinator of Davao City may incur/ suffer through
or in connection with my request for the approval of the business permit of my
aforesaid business;
4. That I am executing this affidavit to attest to the truth of the foregoing facts
and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this_______________ in
the City of Davao, Philippines.

______________
Affiant

SUBSCRIBED AND SWORN to before me this _____________________ in the City

of Davao, Philippines.

Doc. No. _________;

Page No. _________;
Book No. _________;
Series of _________.