Application Form - No-Dollar Importation Of Used Motor Vehicle Page 2
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REPUBLIC OF THE PHILIPPINES
)
) S.S.
A F F I D A V I T O F U N D E R T A K I N G
I, _______________________ (Applicant), of legal age, married/single and residing
at ________________________________________ after having been duly sworn to in
accordance with the law, hereby depose and state:
1. That as principal applicant, I am authorizing ____________________ whose
signature appears below to be my representative;
2. That this is the first time that I have applied for importation under the No Dollar
Importation Program (NDI Program).
3. That I am the registered owner of the subject motor vehicle for at least six (6)
months prior to the filing of this application.
4. That my co registered owner(s) has/have waived their right over the motor
vehicle and has authorized me to transport the said motor vehicle to the
Philippines.
5. That I undertake to present the original documents stated in the application
form and commit to a personal interview prior to the release of my shipment.
6. That failure on my part to comply with any of the above shall be a cause for
the Bureau of Import Services to object to the release of my shipment from
the Bureau of Customs.
7. That I further bind myself to answer for any criminal, civil or administrative
case that may arise relative to the aforesaid application.
IN
WITNESS
WHEREOF,
Affiant
hereby
affixed
his/her
signature
this
___________________ at ________________.
_____________________
_______________________
Applicant
Representative
SUBSCRIBED AND SWORN TO BEFORE ME, this ___ day of _____________. Affiant
exhibiting to me his/her Residence Certificate No. _________________ issued at
________________ on _________________.
________________________
NOTARY PUBLIC
Doc. No. _______
PTR No. ___________
Page No. _______
Valid Until ___________
Book No. _______
Series of ___________
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