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LETTER OF UNDERTAKING

RE : New Service Connection Application


Date : ______________________
Name of Applicant : _______________________________
Address of water __________________________________________________________
connection applied for :
__________________________________________________________

Please accept this letter as undertaking that the above-given is government owned lot and once my water
service connection is installed thereto, I agree that the connection shall be temporary and subject to the
rights of the owner; and in the event there is a private owner of the lot, and such private owner causes or
requests for disconnection of the said water service, I shall allow the DCWD, free of any interference, to
summarily disconnect the same.

Further, I attest to the truth of the foregoing statements under the pain of perjury and I am fully aware that
any falsehood in the aforesaid statements shall be a valid cause for my criminal prosecution, and the
summary disconnection of the water services. This undertaking shall form part of the Water Service
Connection Contract that I will soon enter into with the DCWD.

Sincerely,

____________________________
Signature over Printed Name

LETTER OF UNDERTAKING

RE : New Service Connection Application


Date : ______________________
Name of Applicant : _______________________________
Address of water __________________________________________________________
connection applied for :
___________________________________________________________

Please accept this letter as undertaking that the above-given is government owned lot and once my water
service connection is installed thereto, I agree that the connection shall be temporary and subject to the
rights of the owner; and in the event there is a private owner of the lot, and such private owner causes or
requests for disconnection of the said water service, I shall allow the DCWD, free of any interference, to
summarily disconnect the same.

Further, I attest to the truth of the foregoing statements under the pain of perjury and I am fully aware that
any falsehood in the aforesaid statements shall be a valid cause for my criminal prosecution, and the
summary disconnection of the water services. This undertaking shall form part of the Water Service
Connection Contract that I will soon enter into with the DCWD.

Sincerely,

____________________________
Signature over Printed Name

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