I, ______________________, Filipino, of legal age, and with
residence and __________________________________, after being sworn in accordance with the law, hereby state:
1. That I am applying for registration as
a DEALER/BROKER/SALESPERSON, with the Housing and Land Use Regulatory Board (HLURB), pursuant to Board Resolution No. 922, s. of 2014 and Memorandum Circular No. 02, series of 2015, as amended;
2. In compliance with the registration requirement of posting a bond or
acceptable security, I hereby agree to deposit as cash bond or security the sum of _________________ (P_______) conditioned upon my faithful compliance with Section 12 of Presidential Decree No. 957, otherwise known as Subdivision and Condominium Buyers Protective Decree; and,
3. I hereby understand and agree that the foregoing cash deposit or
bond may be forfeited in favor of the HLURB in case the undersigned fails to comply with the terms and conditions of my registration as provided under Board Resolution No. 922, s. of 2014 and Memorandum Circular No. 02, series of 2015, as amended.
IN WITNESS WHEREOF, I hereunto affix my signature this day
of _______, ______________ in _______________, Philippines.