Affidavit Of Disclosure Of No Relationship 6h6o3g

AFFIDAVIT OF DISCLOSURE OF NO RELATIONSHIP I, __________________________________, of legal age, __________________, residing at _____________________________________________________________________ after being sworn in accordance with law, do hereby depose and say: 1. That I am the authorized representative of the ________________________________ with the office address at __________________________________________________. 2. That the firm/partnership/t venture/corporation, or any of its officers, directors, controlling stockholders and , I represent for the bidding of _________________________________, is not related by consanguinity or affinity up to the third civil degree to the head of the agency, to the BAC, TWG or Secretariat , or to any Procuring Entity official, who directly took part in the bidding process. 3. That I am making this statement in compliance with Section 47 of the IRR-A of the R.A. 9184, and in accordance with the requirements of the LGU Oton- BAC. IN WITNESS WHEREOF, I have hereunto set my hand this ____________ day of _______________________, 200___, in the _______________________, Philippines.

________________________ Affiant SUBSCRIBED AND SWORN to before me this ______ day of ___________________, 200__ in the _______________________________, Philippines.

_________________________ Notary Public

Doc. No. _________ Page No. ________ Book No. ________ Series of 200_____