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Rospan Sworn Statement One-Storey

Felipe Rosales Jr., the owner of a proposed one-storey four-bedroom hotel in Lopez, Quezon Province, affirms the accuracy and authenticity of the CNC Application he prepared. He commits to reporting any inaccuracies to the DENR-EMB within five days and acknowledges that no DENR-EMB personnel were involved in its preparation beyond providing advice. Rosales also accepts liability for any penalties resulting from misrepresentation or omission of information in the application.

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acurvz2005
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11 views1 page

Rospan Sworn Statement One-Storey

Felipe Rosales Jr., the owner of a proposed one-storey four-bedroom hotel in Lopez, Quezon Province, affirms the accuracy and authenticity of the CNC Application he prepared. He commits to reporting any inaccuracies to the DENR-EMB within five days and acknowledges that no DENR-EMB personnel were involved in its preparation beyond providing advice. Rosales also accepts liability for any penalties resulting from misrepresentation or omission of information in the application.

Uploaded by

acurvz2005
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

I, FELIPE ROSALES JR. as OWNER in the CNC Application for the ONE-STOREY FOUR
BEDROOM HOTEL located at MAHARLIKA HIGHWAY, BRGY. BEBITO, LOPEZ, QUEZON
PROVINCE, R4A under oath state the following:

a. That I caused the preparing of the above CNC Application with Reference No.
421876AC-F249-4AFE-BB08-47373D0F124AC, the contents of which I have read and
understood; all the information and commitments stated in the said CNC Application
are true and correct they being based on my personal knowledge as well as based on
authentic documents and records in my possession;

b. That should I learn on any information which would make this CNC Application
inaccurate and/or false. I shall immediately bring the said information to the
attention of DENR-EMB within (5) days from the knowledge hereof.

c. That I further certify that no DENR-EMB personnel was directly involved in the
preparation of this CNC Application other than to provide procedural and technical
advice consistent with the guidelines in P.D. 1586 and its existing rules and
regulations.

d. That I hereby bind myself to be liable to answer to any corresponding penalty,


whether administrative, criminal, and/or civil, that may be imposed arising from any
misrepresentation and/or failure to state material information in this CNC
Application.

IN WITNESS WHEREOF, I hereby affixed my signature on this ______________ day of


______________ herein _________________________________.

FELIPE ROSALES JR.


Owner

SUBSCRIBED AND SWORN TO before me this __________ day of ____________ , affiant


exhibiting his/her Community Tax Certificate No. _____________________________ issued at
_______________________________ on _______________________________.

Doc. No. ________________


Page No. ________________
Book No. ________________
Series of ________________

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