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Guimaras Seed Growers Multi- Purpose Cooperative

CDA Reg. No. 9520- 060912034
Brgy. Cabano, San Lorenzo, Guimaras

OMNIBUS SWORN STATEMENT

Certification that:

 The Guimaras Seed Growers Multi-Purpose Cooperative has authorized to file the application
for accreditation and has authorized Jenelyn V. Consumo the person actually filling the
application to represent the Guimaras Seed Growers Multi-Purpose Cooperative in the
application.
 All supporting documents are authentic, true and correct.
 The Guimaras Seed Growers Multi-Purpose Cooperative is not in default or delay in
liquidating public funds received from any government agency.
 Neither the Guimaras Seed Growers Multi-Purpose Cooperative nor any of its member(s) has
been blacklisted by any government agency.
 None of the members of the Guimaras Seed Growers Multi-Purpose Cooperative has been
convicted in any case, or is currently a defendant/ accused/ respondent in any pending case,
related to the use of public funds.
 The Guimaras Seed Growers Multi-Purpose Cooperative is aware of, understand, and agrees to
abide by the guidelines for accreditation of Guimaras Seed Growers Multi-Purpose
Cooperative

Declaration of:
 Other businesses of the Guimaras Seed Growers Multi-Purpose Cooperative
1.Palay buying and Trading
2.Farm machineries services

 Guimaras Seed Growers Multi-Purpose Cooperative personnel:

1.Wilma G. Amunategui - Bookkeeper
2.Mary Joy V. Diaz - Treasurer
3.Eloisa G. Diaz - Secretary

SUBSCRIBED AND SWORN TO before me this _______ day of ____________ 2023, affiant/s exhibit/s to me
(ID number) issued on __________________ issued at ______________________.

NOTARY PUBLIC

Doc No.
Page No.
Book No.
Series of 2023
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