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AMLA Annex C - Blank

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ANNEX C

Name of Owner, Partner or Director:

Address:

Tel. No. TIN:

DEED OF UNDERTAKING

I, _________________________, of legal age, and under oath, hereby abide to


comply with the following requirements:

1. That I certify that I shall be responsible for any violation of any of the
provisions of the Anti-Money Laundering Act of 2001 (Republic Act No.
9160), as amended, and its implementing rules and regulations, and any
other directive, guidelines or other issuance of the Anti-Money Laundering
Council; and other applicable laws, rules and regulations; and

2. I shall attend the required seminar on the Anti-Money Laundering Act of


2001, as amended, before commencement, continuance or resumption of
actual operations.

(Signature over printed name)

(Designation)

SUBSCRIBED AND SWORN TO before me this _____ day of _______________


2022 affiant exhibiting to me his/her ________________ issued at _____________
on ______________________.

(NOTARY PUBLIC)
Doc. No.
Page No.
Book No.
Series of 2022

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