SOP Exhibits
Title
:
Affidavit
SOP Number :
07002
A F F I D A V I T
REPUBLIC OF THE PHILIPPINES)
QUEZON CITY ) S.S.
I, _____________________________ of legal age, filipino with Office and postal address at the Office of Security Affairs, National Grains Authority, 4th floor, Matimyas Building, E. Rodriguez, Sr. Avenue, Quezon City, after having been duly sworn in accordance with law, depose and say:
1. That I am presently employed with the National Grains Authority as ________________ and
as such, it is among my duties to enforce the provisions of Presidential Decree No. 4, its implementing rules and regulations and other laws pertinent thereto;
2. That on ___________, 197____, pursuant to Mission Order No. ______________ of this office, I, in the company of _____________________________________ proceeded to ________________________________________________________________ to conduct inspection inspection thereat;
3. That in the course of my/our inspection, I/we came across a store located at __________________________________________________ displaying rice/corngrits ostensibly for sale to the public;
4. That then and there, I approached the person minding the store who turned out later to be one ___________________________ and after identifying myself, requested her/him to present the store's NGA license;
5. That said person failed to produce any such license informing me that ________________________________________________________________________________
6. That the owner/operator of the store is one named ___________________________;
7. That subsequently Summons No. ________ was issued upon the said _______________
______________________ directing him/her them to appear at the Office of Security Affairs on _________________, 19 ____ to explain the violation/s committed;
That I am executing this affidavit to attest to the truth and veracity of the facts heretofore narrated.
Further affiant sayeth naught.
_________________________
A f f i a n t
SUBSCRIBED AND SWORN to before me this _______ day of ____________________
197 _____, at Quezon City, Philippines, affiant exhibiting to me his/her Residence Certificate No. ______________, 197____ .
NOTARY PUBLIC
(Person Authorized to Adm. Oath)
Until December 31, 197____
PTR No. ________
At _____________
On _____________
Doc. No. ______
Page No. ______
Book No. _______
Series of 197____