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AFFIDAVIT OF CONSENT

I, (Name of Authorized Corporate Officer/ Representative ), a Filipino citizen, of legal


age, with business address at _________________________________, after having been duly
sworn in accordance with law, hereby depose and state:

1. I am presently the (Designation/ Position) of (Holder of the mark)( “____” ), a


company organized and existing under the laws of the Philippines with Philippine Securities and
Exchange Commission (SEC) Company Reg. No. ________________, registered on
________________.

2. ________ forms part of an umbrella group of companies known as


“_____________________”.

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.

4. An application for registration for the mark _______________________was filed


with the IPO____ by _____________________________________, a ____ company
(“______”), with address at ________________________________________, which has been
assigned Application No. ____________________ bearing filing date of
__________________for services falling under International Classes ____, _____, ____, ____
and ____ (“_____________”). This application is now under examination before the IPO____’s
Bureau of Trademarks.

5. On behalf of __________, I hereby certify that _________, being a company


that is related to _________________, is aware of __________'s ___________ Application.
____________ does not interpose any objection to the prosecution to grant of __________'s
Application and to the eventual maintenance of any registration that may be granted
therefor to _________ by the IPO___.

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.

AFFIANT FURTHER SAYETH NAUGHT.

______________________________

By:

(Signature over Printed Name


of Authorized Signatory of the Company)

(Designation/ Position with Company)


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REPUBLIC OF THE PHILIPPINES )


MANDALUYONG CITY, METRO MANILA ) S.S

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.

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