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Affidavit of Undertaking

This document contains an attestation and undertaking signed by Perla Perez Balubar, the owner of Perla's Store & Smart Padala Loading Center. In it, Ms. Balubar certifies that the business complies with labor laws, has no outstanding tax or legal issues, and that all information provided in the subsidy program application is true. She agrees to reimburse any amounts received if any information is found to be false or fraudulent.

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MicahDelaCruzCuatrona
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330 views2 pages

Affidavit of Undertaking

This document contains an attestation and undertaking signed by Perla Perez Balubar, the owner of Perla's Store & Smart Padala Loading Center. In it, Ms. Balubar certifies that the business complies with labor laws, has no outstanding tax or legal issues, and that all information provided in the subsidy program application is true. She agrees to reimburse any amounts received if any information is found to be false or fraudulent.

Uploaded by

MicahDelaCruzCuatrona
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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For Micro Business Enterprises

ATTESTATION AND UNDERTAKING

I hereby certify and attest that:

1. I am the owner or authorized representative of Perla’s Store & Smart Padala Loading
Center, with office address at 17 Kalayaan A. St Brgy. Batasan Hills, Quezon City;

2. As the owner or authorized representative of Perla’s Store & Smart Padala Loading
Center, I have full power and authority to execute and perform any and all acts
necessary to apply for, sign and execute the ensuing contract for the Quezon City Wage
Relief Subsidy Program;

3. That Perla’s Store & Smart Padala Loading Center, complies with existing labor laws
and standards;

4. That Perla’s Store & Smart Padala Loading Center, does not have any outstanding or
pending open cases with the Bureau of Internal Revenue (BIR);

5. That Perla’s Store & Smart Padala Loading Center, does not have any pending cases
with the Department of Labor and Employment (DOLE);

6. All information included in the application form is true and complete to the best of my
knowledge;

7. All information, including the documents submitted shall be the basis of the assessment
of our Company’s eligibility for the Quezon City Wage Relief Subsidy Program;

8. In the event that any of the information or documents provided are false and/or
fraudulent, the Company shall reimburse any and all amounts received plus legal
interest without prejudice to the filing of any criminal, civil or administrative suit against
me and the responsible officers of my Company.

9. By signing below, I hereby give my consent to the processing of my personal and


business data for purposes of applying for the stimulus package. This is for purposes of
compliance with the Data Privacy Act of 2012.

PERLA PEREZ BALUBAR


[OWNER/ REPRESENTATIVE’S SIGNATURE
ABOVE PRINTED NAME]
ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


PROVINCE OF METRO MANILA ) SS
CITY OF QUEZON )

SUBSCRIBED AND SWORN to before me this ____day of [month] [year] at [place of


execution], Philippines. Affiant/s is/are personally known to me and was/were identified by me
through competent evidence of identity as defined in the 2004 Rules on Notarial Practice (A.M.
No. 02-8-13-SC). Affiant/s exhibited to me his/her [insert type of government identification card
used], with his/her photograph and signature appearing thereon, with no. ________ and his/her
Community Tax Certificate No. _______ issued on ____ at ______.

Witness my hand and seal this ___ day of [month] [year].

NAME OF NOTARY PUBLIC

Serial Number of Commission ____________


Notary Public for _________until _________
Roll of Attorneys No. ___________________
PTR No. _____________________________
IBP No. ______________________________

Doc No
Page No.
Book No.
Series of 2020.

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