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Get Republic Of The Philippines - Affordablecebu

, and resident of , depose and state that: 1. I am the (registered owner/franchisee/proprietor) of a (nature of business and/or products, i.e. restaurant, food stall, gas station, beauty parlor, etc.) establishment/enterprise doing business as (DTI-registered business name) located at (business address). 2. (Business name) failed to (register, collect, and remit contributions) covering (period of violation) in violation of the Home Development Mutu.

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