I, ______, of legal age, Filipino, after being duly sworn in
accordance with law, hereby depose and state that:
1. I am the Corporate Secretary and authorized signatory
of ______, Respondent in the above-captioned case. 2. I have caused the filing of the aforesaid Motion for Clemency and I have read said Motion and the allegations therein are true and correct based on my own personal knowledge and/or authentic records.
IN WITNESS WHEREOF, I hereby affix my signature this
__th day of February, 2017 at City of Manila, Philippines.
_____________ Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this __th day
of February 2017, Affiant exhibiting to me his/her Passport No. ________ issued at _____ on _______.