Aff Undertaking PPA

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REPUBLIC OF THE PHILIPPINES)

BATANGAS CITY. . . . . . . . . . . . . . . )S.S.

AFFIDAVIT OF UNDERTAKING

I, ________________, in my capacity as the authorized representative of RNA


Marine Services with office address at Unit C Lot 70 Block 20 Phase II, Brgy. Longos,
Malabon City, do hereby and states under oath that:

1. _________________ hereby applies for issuance permit of Permit to


Operate (PTO) for SHIPPING AGENT SERVICES, SHIP CHANDLING
SERVICES & HAULING/ TRUCKING SERVICES at the Base Port, Sub-Ports and
Private Port of Batangas;

2. RNA Marine Services shall submit a certified thru copy of its PPA
issued Accreditation Certificate to PPA PMOB within 30 days and the other
following lacking documents within 10 days from the date of the issuance of this
application, viz:

1. PPA Certificate of Accreditation or Proof of Submission of


Application for PPA Accreditation & Original Copy of Duly Notarized Deed
of Undertaking
2. Batangas City Special Permit ( except for operations outside
Batangas City
3. Annual Renewal of BIR Registration (Form 0605 and Proof of
Payment)
4. Copy of most recent Audited Financial Statement

3. RNA Marine Services agrees that the Permit to Operate issued by PPA
shall automatically revoke for failure to submit the documents above.

IN FAITH WHEREOF, I have hereunto set my hand at ____________, this 16 th


day of October 2020.

REY-AN M. VILLANUEVA
Affiant/DL#N04-06-019238

SUBSCRIBED AND SWORN TO BEFORE ME this 16th day of October 2020


at ____________, affiant exhibited to me his competent evidence of identity as
indicated above but below his printed name/affiant.

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