REPUBLIC OF THE PHILIPPINES )

) S.S.

AFFIDAVIT

I, Emilyn Pagsisihan, after being sworn to in accordance with law hereby, depose
and say;

That I am the applicant under Case No. ______________________;

That I am Filipino, legally and financially capable to operate and maintain the
serviced applied for;

That I caused the Publication of the Notice issued in the aforementioned Case
Number;

That I am willing to abide by all the rules and regulations of this Honorable Board
in the operation of the said service, and those which shall be promulgated from time to
time;

That I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve.

IN WITNESS WHEREFORE, I have hereunto affixed my signature this ________

day of _________________, 2015 at ______________________.

Emilyn Pagsisihan
Affiant/Applicant

SUBSCRIBED and SWORN to before me at __________________________,

this _______ day of ____________________, 2015, affiant/applicant exhibited
to me his/her _____________________ with No. __________________ issued
at ______________________________ on ____________________.

Doc No.______;
Page No._____;
Book No______;
Series of 2015