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2019 Mandatory Disclosure Declaration Verification

Maximo S. Salavante, President of Barangay Mandong-Napti Batan Farmers Association, consents to the collection and processing of personal information by the Securities and Exchange Commission for NPO Guidelines implementation. He declares that the information provided is true and correct under penalty of perjury. The document includes spaces for notarization and personal identification details.

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31 views1 page

2019 Mandatory Disclosure Declaration Verification

Maximo S. Salavante, President of Barangay Mandong-Napti Batan Farmers Association, consents to the collection and processing of personal information by the Securities and Exchange Commission for NPO Guidelines implementation. He declares that the information provided is true and correct under penalty of perjury. The document includes spaces for notarization and personal identification details.

Uploaded by

elmer.dalida001
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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DECLARATION/VERIFICATION

I, MAXIMO S. SALAVANTE, President of BARANGAY MANDONG-NAPTI BATAN FARMERS


ASSOCIATION (BAMANABAFA) INC., agree and consent that the Securities and Exchange
Commission (“Commission”), and other regulatory agencies with which the Commission may
coordinate and cooperate, may collect, use, disclose, share and process personal information of
individuals provided in this form and/or other corporate documents submitted and filed with
the Commission, for the purpose of implementing the provisions of the NPO Guidelines.

Further, I declare under the penalty of perjury, that all matters set forth herein have been made
in good faith, duly verified by me and to the best of my knowledge and belief, are true and
correct.

Done this ______ day of __________________, 20___ in ______________________________________.

MAXIMO S. SALAVANTE
Signature over Printed Name

Subscribed and sworn to before me in __________________________________ on ____________________,


affiant personally appeared before me and exhibited to me his/her competent evidence of
identity _____________________________________ issued at ____________________ on ___________________________.

NOTARY PUBLIC FOR _______________


Notarial Commission No. ____________
Valid until _____________________________
Roll of Attorney No. __________________
PTR No. ________________________________
IBP No. ________________________________
Office Address: _______________________

Doc. No. ________


Page No. ________
Book No. ________
Series of ________.

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