Department of Environment and Natural Resources

National Capital Region

APPLICATION

Application No.
Type : ( ) NEW
( ) RENEWAL

DATE :

The RED / CENRO concerned :

Sir :

I / We , with address at
and telephone no. hereby applies for
( Please check appropriate box ) :

( ) Certificate of Registration of Chainsaw (new)

( ) Permit to Import Chainsaw
( ) Permit to Manufacture
( ) Permit to purchase, sell , re-sell, distribute or transfer of ownership of
chainsaw

The requirements called for under my /our application are attached for your
evaluation.

I/We understand that the filling of this application does not convey the authority to
the undersigned to purchase, import , assemble, manufacture, sell, re-sell,
distribute or use the chainsaw/s subject of application until such time that a Permit
or Certificate of Registration is issued by DENR.

I / We further understand that any false statement, misinterpretation and/or

misdeclaration stated herein shall be a ground for denial and /or revocation of
registration without prejudice to the filling of appropriate legal action.

Very truly yours,

Signature over Printed Name of Applicant