Professional Documents
Culture Documents
for NON-INDIVIDUAL
To be accomplished and signed by the authorized Key Officer/Board Member as indicated in the latest
Revised Sept 2016 SEC General Information Sheet
ENCLOSED ARE THE FOLLOWING SUPPORTING DOCUMENTS TO THIS APPLICATION (PLEASE CHECK):
I HEREBY DECLARE, UNDER THE PENALTY OF PERJURY, THAT THIS APPLICATION HAS BEEN MADE IN GOOD FAITH,
AND THAT THE REPRESENTATIONS INCLUDING THE ACCOMPANYING SUPPORTING DOCUMENTS HAVE BEEN VERIFIED BY ME
AND TO THE BEST OF MY KNOWLEDGE, BELIEF, AND INFORMATION ARE CORRECT, COMPLETE AND TRUE.
ROSEMARIE L. WONG
Signature over Printed Name of Authorized Officer
SUBSCRIBED AND SWORN to before me this ______ day of JULY 2017 in Cebu City, applicant exhibiting to me his/her competent evidence
of identity (government-issued identification card) No. _________________, bearing his/her photograph and signature, issued on
______________________ by ____________________ at ____________________________________.
NOTARY PUBLIC