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Republic of the Philippines )

)S.S.

AFFIDAVIT OF
UNDERTAKING TO CHANGE NAME

I, ______________________, of legal age, Filipino, and a resident of


_______________________________________________________________________, after
having been duly sworn to in accordance with law hereby depose and state that:

1. I am the _____________ of __________________________________, which is


in the process of registration of corporate name with the Securities and
Exchange Commission.

2. I, in behalf of said corporation, hereby undertake to change its corporate name in


the event another person, firm or entity has acquired a prior right to the use of the
said firm name by virtue of registration with other government agencies or our
name is identical or deceptively or confusingly similar to that of any existing
corporation or to any other name already protected by law or is patently
deceptive, confusing or contrary to existing laws.

3. This Affidavit is executed to attest to the truth of the foregoing and for whatever
legal purpose and intent it may serve.

IN WITNESS WHEREOF, I hereby sign this Affidavit this ______ day of


______________ at ____________________.

__________________
Affiant

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this day of


[MONTH AND YEAR]_________________, affiant exhibiting before me his Government Issued ID
no. _______________ issued on [DATE}__________________ at [PLACE OF
ISSUANCE]_____________________.

[SIGNATURE]
[NAME]_______
Notary Public

Until [DATE]__________________
PTR No. [NUMBER] ____________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No.
Page No.
Book No.
Series of [YEAR] ___________.

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