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    p3 of 25 Affidavit Attestation

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    Rolly Ferrer
    The document is an affidavit of attestation for a contractor's license application, where the authorized managing officer certifies that the application information is complete and accurate. The officer acknowledges that misrepresented information could result in license denial or revocation and that unconfirmed documents will be excluded. The affidavit is signed and notarized.

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    © All Rights Reserved
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    p3 of 25 Affidavit Attestation

    Uploaded by

    Rolly Ferrer
    526 views1 page
    The document is an affidavit of attestation for a contractor's license application, where the authorized managing officer certifies that the application information is complete and accurate. The officer acknowledges that misrepresented information could result in license denial or revocation and that unconfirmed documents will be excluded. The affidavit is signed and notarized.

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    Affidavit of Attestation

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    © © All Rights Reserved

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    The document is an affidavit of attestation for a contractor's license application, where the authorized managing officer certifies that the application information is complete and accurate. The officer acknowledges that misrepresented information could result in license denial or revocation and that unconfirmed documents will be excluded. The affidavit is signed and notarized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    526 views1 page

    p3 of 25 Affidavit Attestation

    Uploaded by

    Rolly Ferrer
    The document is an affidavit of attestation for a contractor's license application, where the authorized managing officer certifies that the application information is complete and accurate. The officer acknowledges that misrepresented information could result in license denial or revocation and that unconfirmed documents will be excluded. The affidavit is signed and notarized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    PCAB-PAD-NEW-F01

    Revision No. 06, 02/13/2015


    This Form is NOT for sale. Reproduction is Allowed
    Page 3 of 25

    AFFIDAVIT OF ATTESTATION

    In behalf of
    (Name of Firm)

    I hereby request that its application for Contractor's License be approved.

    I certify to the completeness of the information/documents contained in this application appertaining to


    the category/classification the company is applying for and that the information/documents are true and
    correct.

    I further certify that the business name and/or SEC registration of this firm is valid and existing.

    I certify furthermore that the SSS, Pag-IBIG, and PhilHealth contributions were remitted in favor of the
    employees of this firm.

    I am fully aware that:

    1. All documents submitted in support to this application are subject to verification before PCAB
    action;
    2. Any discovered misrepresentation of information and/or manifestations of fraud on the
    application documents submitted by my firm applicant or its Authorized
    Representative/Agent/Liaison Officer shall be subjected to investigation which may result to the
    disapproval of my application, denial/suspension/revocation of license and blacklisting of my firm
    and myself as its Authorized Managing Officer; and

    3. Unconfirmed information/documents submitted to support my firm's qualifications shall be


    excluded for categorization/classification purposes.
    4. The evaluation of my qualification shall be solely based on the documents submitted at the time
    the application was filed/accepted by PCAB.

    Authorized Managing Officer


    (Signature over Printed Name)

    Republic of the Philippines )


    Province of _________________)
    City/Municipality of ___________) S.S

    SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at


    ______________________________________________; affiant exhibited to me his/her Community Tax
    Certificate No. _______________ issued at ______________________ on _________________ 20 ___.

    NOTARY PUBLIC
    Until December 31, 20 ____

    Doc. No.
    Page No.
    Book No.
    Series of 20 __.

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