Republic of the Philippines )
__________________________ )S.S.
AFFIDAVIT OF UNDERTAKING
I, _____________________, of legal age, Filipino, and the authorized
representative of ______________ CORPORATION, after having been duly
sworn to in accordance with law, depose and state:
1. That I am the project engineer of _____________ CORPORATION;
2. That in a letter dated __________________ sent by the Department of
Environment and Natural Resources through ___________________, the
Pollution Adjudication Board Secretary and Legal Counsel,
______________Corporation was directed to execute this Affidavit of
Undertaking;
3. That, in compliance therewith, I as the duly authorized managing head of
____________ Corporation hereby bind and avow that the aforesaid
corporation shall comply and abide by the conditions imposed upon it by the
Pollution Adjudication Board which were laid down in the letter dated
_______________;
4. That I am executing this Affidavit to attest to the truth of the foregoing and
for whatever legal intents and purposes it may duly serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of
_______________ 2023 at the __________________, Philippines.
_________________________
Affiant
SUBSCRIBED AND SWORN to before me this ____ day of __________ 2023
at _____________________________, affiant exhibited to me his ____________ with
no. _________________, as competent proof of his identity.
Doc. No.__________
Page No._________
Book No._________
Series of 2023