nal, complete and that all statements and informationprovided therein are true and correct;

3.
 
That I am making this statement as part of the eligibility requirement of
Name of theBidder 
 for
Name of the Project.
IN FAITH WHEREOF, I hereby affix my signature this ___________ day of ______________,
20______, in the City of ___________________,
Philippines. _______________________AffiantSUBSCRIBED AND SWORN to before me this
___________ day of ____________, affiantexhibiting to me his/her Community Tax Certificate No.
____________ issued on ____________ at ______________,
Philippines. ________________________(Notary Public)