Affidavit of Assumption and Responsibility

Republic of the Philippines )
Manila )S.S
AFFDIDAVIT OF ASSUMPTION AND RESPONSIBILITY
I, GINA V. ALMAZAN, of legal age, married, Filipino, with office address at Rooms 252, 253, 254, 255, 256,
258, 272 Ramagi Bldg. 1081 Pedro Gil St. Paco Manila, after having been subscribed to an oath, depose
and say:
1. That I am the incumbent Vice President of 1010 EPHESIANS HUMAN RESOURCES INC., a
company duly organized by virtue and under the laws of the Philippines and duly authorized by
the Department of Labor and Employment to operate as a licensed landbased agency;
2. That INTERHELP AGENCY our Foreign Principal, a company duly organized and existing under laws
of Singapore with principal office address at Blk. 119 Serangoon North Ave. 1, #03-255
Singapore, has designated our company as its lawful representative in the Philippines;
3. That as an agent in the Philippines of the above principal, our company assumes full and
complete responsibility for the contractual obligation of the Principal to its workers originally
recruited, processed and deployed by INTERACTIVE CONNECTIONS INTERNATIONAL
RECRUITMENT AGENCY CO.
4. That In the case of failure to effect all contractual obligations of the principal to its workers, DOLE,
POEA shall impose the necessary penalties in accordance with its rules and regulation, including
but not limited to suspension/cancellation of our license/authority as well as Confiscation of
Bonds;
5. That this affidavit is being executed in compliance with Part III, Rule 1, Section 109 of the POEA
Rules and Regulations governing the recruitment and employment of Landbased Overseas
Filipino workers of 2016.
Further, I sayeth not.
IN WITNESS WHEREOF, I have hereunto set my hands this ________day of __________, 2021 in
Manila, Philippines.
GINA V. ALMAZAN
__________________________
(AFFIANT)
SUBSCRIBED AND SWORN to before me this _____day of __________, 2021. Affiant exhibited to
me his Residence Cert. No. __________________issued at ______________on_____________at
NOTARY PUBLIC
Doc. No. _________

Page No. _________
Book No. _________
Series of 2021
Republic of the Philippines )
Manila )S.S
AFFDIDAVIT OF ASSUMPTION AND RESPONSIBILITY
I, GINA V. ALMAZAN, of legal age, married, Filipino, with office address at Rooms 252, 253, 254, 255, 256,
258, 272 Ramagi Bldg. 1081 Pedro Gil St. Paco Manila, after having been subscribed to an oath, depose
and say:
1. That I am the incumbent Vice President of 1010 EPHESIANS HUMAN RESOURCES INC., a
domestic corporation organized under Philippine Laws, and a duly licensed recruitment agency as
per licensed number 013-LB-072619-UL issued by the Philippine Overseas Employment
Administration;
2. That DIAMOND STAR MANPOWER RECRUITING our Foreign Principal duly organized and existing
under laws of SULTANATE OF OMAN with Principal office address at P.O. BOX 35971-RIYADH.
3. That as an agent in the Philippines of the above principal, our company assumes full and
complete responsibility for the contractual obligation of the Principal to its workers originally
recruited, processed and deployed by LOG INTERNATIONAL HR & RECRUITMENT AGENCY INC.
4. In the case of our failure to effect all contractual obligations of the principal to its workers, DOLE,
POEA shall impose the necessary penalties in accordance with its rules and regulation, including
but not limited to suspension/cancellation of our license/authority as Confiscation of Bonds;
5. That this affidavit is being executed in compliance with Section 108 and 109 of the POEA Rules
and Regulations governing employment.
Further, I sayeth not.
IN WITNESS WHEREOF, I have hereunto set my hands this ________day of __________, 2021 in
__________________________
(AFFIANT)
SUBSCRIBED AND SWORN to before me this _____day of __________, 2021. Affiant exhibited to
me his Residence Cert. No. __________________issued at ______________on_____________at
NOTARY PUBLIC
Doc. No. _________

Page No. _________
Book No. _________
Series of 2021

Affidavit of Assumption and Responsibility

Uploaded by

Copyright:

Available Formats

Affidavit of Assumption and Responsibility

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Affidavit of Assumption and Responsibility

Uploaded by

Copyright:

Available Formats

Republic of the Philippines )

AFFDIDAVIT OF ASSUMPTION AND RESPONSIBILITY

Further, I sayeth not.

Doc. No. _________

AFFDIDAVIT OF ASSUMPTION AND RESPONSIBILITY

Further, I sayeth not.

Doc. No. _________

You might also like