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Template IPO Affidavit of Consent Form
Template IPO Affidavit of Consent Form
3. ________ has obtained in its name from the Intellectual Property Office of the
Philippines (the “IPOPHL”), a registration of the trademark/service mark
___________________ with Reg. No. ___________________ for Class ______ services.
6. I am executing this Affidavit to attest to the truth and veracity of the foregoing
statements, and for whatever legal purpose that it may serve.
______________________________
By:
SUBSCRIBED AND SWORN TO BEFORE ME a Notary Public for and in the City of
Mandaluyong, Metro Manila, Philippines, this __ day of ___________, 2019, by the Affiant,
who personally appeared before me and whose identity I have confirmed through his/her
government-issued identification document, Passport/Driver's License No. _____________
issued on __________________ bearing the Affiant’s photograph and signature, and Community
Tax Certificate No. ____________ issued at ______________ on ________________.
Doc. No. ;
Page No. ;
Book No. ;
Series of 2019.