Professional Documents
Culture Documents
Food Chemicals)
City/Municipality of _____________)
x-----------------------x
AFFIDAVIT / CERTIFICATION
That the said company has been granted a License to Operate by the
Bureau of Food and Drugs (BFAD) under Licence No.
_____________ issued on _____________;
That the company is presently applying for a renewal of its BFAD license
(or a new BFAD Licence because of its change of business address
from _____________ to _____________, Philippines);
That I hereby certify that the company is using the following food
chemicals: (enumerate and describe the food chemicals used);
That I hereby certify that we are getting our supply of the said food
chemicals from _____________ Laboratory and are using the same in
the accordance with proportions and limitations set by the said
Laboratory, which are in compliance with the requirements of U.S.
Pharmacoepia (USP) and Food Chemicals Codex (FCC) and are
using only food grade ingredients;
AFFIANT
(JURAT)