This document is an affidavit of undertaking for Michelle Placa representing Oilmart, Inc. In it, she commits to complying with the requirements for a Certificate of Compliance under Department Circular 2017-11-0011, assumes responsibility for any consequences of the registration or application, and executes the affidavit to comply with requirements for issuing the Certificate of Compliance.
This document is an affidavit of undertaking for Michelle Placa representing Oilmart, Inc. In it, she commits to complying with the requirements for a Certificate of Compliance under Department Circular 2017-11-0011, assumes responsibility for any consequences of the registration or application, and executes the affidavit to comply with requirements for issuing the Certificate of Compliance.
This document is an affidavit of undertaking for Michelle Placa representing Oilmart, Inc. In it, she commits to complying with the requirements for a Certificate of Compliance under Department Circular 2017-11-0011, assumes responsibility for any consequences of the registration or application, and executes the affidavit to comply with requirements for issuing the Certificate of Compliance.
This document is an affidavit of undertaking for Michelle Placa representing Oilmart, Inc. In it, she commits to complying with the requirements for a Certificate of Compliance under Department Circular 2017-11-0011, assumes responsibility for any consequences of the registration or application, and executes the affidavit to comply with requirements for issuing the Certificate of Compliance.
MICHELLE PLACA I/We, ___________________________________________ with residential address at (NAME) Km 10, Insular Oil Compound, Sasa, Davao City, ________________________________________________ under oath, hereby depose (ADDRESS)
and state THAT;
1. I am the authorized representatives of OILMART, INC.___________, with Business
(BUSINESS NAME)
Permit No. ________ and/or Department of Trade and Industry (DTI) Registration
No. _ _ _ _ _ _ _ _ _ _ _ _ _ , and office address at
2. Pursuant to Section 6(b) of Department Circular No. 2017-11-0011, otherwise
known as the “Revised Retail Rules,” I hereby commit to comply with all the requirements provided for by said circular for a Certificate of Compliance (COC);
3. I likewise UNDERTAKE and ASSUME full and complete responsibility for all consequences which may arise in connection with said registration/application; and
4. I am executing this affidavit in compliance with the requirements for the
issuance of Certificate of Compliance (COC) pursuant to the said department circular.
IN WITNESS WHEREOF, I/We hereby set my/our hand/s this _______of day
__________________ in _________________.
______________________________ Affiant
SUBSCRIBED AND SWORN to before me this ____ day of ______________
At ____________. Affiant having exhibited to me his/her__________________________
(GOVERNMENT ID)
issued at _________________ on ___________________.
Doc. No.: ________
Page No.: ________ NOTARY PUBLIC Book No.: ________ Series of _________
