1. I am interested in the bidding/auction for the sale of (property description and area): __________________________________________________________________ _____________________________________________________________________ located in _______________________________________________ .
2. In compliance with the Documentary Requirements, copies of the following documents are hereby attached:
a. Duly accomplished Registration Form (pro-forma attached as Annex “D1”);
b. Certified True Copy of two (2) valid government issued Identification Card with photo (e.g. Driver’s License, Passport, PRC License);
c. Certificate from at least one (1) highly-reputable Savings/ Commercial/Universal Bank, legally operating within the Philippines stating that the Bidder/Offeror is known to them, banking with them, and is in good financial and/or credit standing; and
d. Certified True Copy of Income Tax Return for the immediate preceding calendar year, duly stamped received by the BIR.
3. I commit to abide by the decision of the NFA REGION ____-RSBAC, waive my right to seek legal remedies against NFA REGION ___-RSBAC free from any liability, costs, and expenses, suit or allegation arising from my participation in this bidding process;
4. All information in this statement, including attachments and enclosures, are true and correct. Any falsity, error, or misrepresentation shall constitute ground for disqualification from this bidding or revocation of award as determined by NFA REGION ___-RSBAC;
5. I shall not attempt to establish any contact with any of NFA REGION ___-RSBAC, TWG, and Secretariat on matters concerning the bidding from the date of the submission of the bids up to the conclusion of the bidding process, except for clarifications on Proposal which must be in writing and addressed to the NFA REGION ___-RSBAC, through its Chairperson.

I have neither given nor offered, nor will I give nor offer, directly or indirectly, any bribe or other improper payment or advantages to any Executives, Officers, and employees of NFA, nor engage in any of the acts prohibited under R.A. 3019, otherwise known as the “Anti-Graft and Corrupt Practices Act”, as amended.

Violation of any of the foregoing shall be a ground for my disqualification from the bidding or revocation of the award, if any, without prejudice to damages that NFA may recover for any loss or damage that may result therefrom;

6. I am not involved in any money laundering activity as defined by the Anti-Money Laundering Act of 2001 (RA 9160);
7. I am not related up to fourth (4^th) degree of consanguinity or affinity to any of the NFA Executives, Officers and employees; and
8. I authorized NFA REGION ___-RSBAC, TWG and Secretariat or it its authorized representative to conduct investigation and verification of the statements, documents and information submitted relative to my bid.

Affiant

SUBSCRIBED AND SWORN TO before me this _____ day of ______________, affiant exhibiting to me his competent evidence of identity (e.g. passport, Driver’s License, etc.) ______ issued at __________, Philippines on _____________________.

NOTARY PUBLIC

Doc. No. ___
Page No.___
Book No.___
Series of _____

1. The (name of Bidder) is interested in the bidding/auction for the sale of the (property description and area) :_________________________________________________ ___________________________________________________________________ located in ______________________________.
2. I am the (designation) of the Bidder, duly authorized to make this Statement for and on its behalf;

3. In compliance with the Documentary Requirements, the following documents are hereto attached:
a. Duly accomplished Registration Form (pro-forma attached as Annex “D2”);
b. Certified True Copy of Registration Certificate from the appropriate regulatory agency (Securities and Exchange Commission, Department of Trade and Industry, or Cooperative Development Authority);
c. Certified True Copy of Tax Clearance issued by the BIR which has an effectivity of not earlier than the immediate preceding quarter;
d. Certificate from at least one (1) highly-reputable Savings/ Commercial/Universal Bank, legally operating within the Philippines stating that the Bidder/Offeror is known to them, banking with them, and is in good financial and credit standing, and
e. A duly-notarized Board Resolution and Secretary’s Certificate, or a Special Power of Attorney issued by the Bidder/Offeror expressly authorizing its participation in the Bidding/Auction Process, and appointing its Authorized Representative for this purpose; or, for sole proprietorships, a valid government –issued Identification Card of the Proprietor/Bidder with photo, whichever of the aforementioned is applicable.

4. The Bidder commits to abide by the decision of the NFA Region ___-RSBAC, waives its right to seek legal remedies against NFA, and holds it NFA Region ___-RSBAC free from any liability, costs, and expenses, suit or litigation arising from its participation in this bidding process;

5. All information in this statement, including attachments and enclosures thereof, are true and correct. Any falsity, error, or misrepresentation shall constitute ground for disqualification from this bidding or revocation of award as determined by NFA;

6. The Bidder, its Directors, Officers and staff or any representative thereof, shall not attempt to establish any contact with any of NFA Region ___-RSBAC, TWG and Secretariat on matters concerning the bidding from the date of the submission of their bids up to the conclusion of the bidding process, except for clarifications on Proposal which must be in writing and addressed to the NFA Region ___-RSBAC, through its Chairperson.

The Bidder, its Directors and Officers have neither given nor offered, nor will it give or offer, directly or indirectly, any bribe or other improper payment or advantage to any NFA Region ___-RSBAC, TWG and Secretariat , or engage in any of the acts prohibited under R.A. 3019, otherwise known as the “Anti-Graft and Corrupt Practices Act”, as amended.

Violation of any of the foregoing shall be ground for the disqualification from the bidding or revocation of the award, if any, without prejudice to damages the NFA may recover for any loss or damage that may result therefrom;

7. The Bidder is not involved in any money laundering activity as defined by the Anti-Money Laundering Act of 2001 (RA9160); and

8. The Bidder authorizes NFA or its authorized representative to conduct investigation and verification of the statements, documents and information submitted relative to our bid.

For this purpose, the Bidder hereby authorizes any public office, or any person or firm to furnish pertinent information deemed necessary and requested by NFA to verify statements and information provided in this statement.

1. The (name of Bidder) is interested in the bidding/auction for the sale of (property description and area): _________________________________________________ ___________________________________________________________________ located in ____________________________________________.
2. I am the (designation) of the Bidder, duly authorized to make this Statement for and on its behalf;
3. In compliance with the Documentary Requirements, the following documents are hereto attached:
a. Duly accomplished Registration Form (pro-forma attached as Annex “D3”);
b. Sangguniang Bayan Resolution approving the Purchase and the Payment of the Total Bid/Offer Price by the concerned LGU the Ten Thousand (10,000) square meters lot with 100 Thousand Cavan Capacity Warehouse located in Brgy. Malalag, Maitum, Sarangani Province and appropriating funds therefor;
c. Sangguniang Bayan Resolution authorizing the Mayor to participate and sign Bidding/Auction Documents, sign the Deed of Absolute Sale as Vendee, for and in behalf of the LGU;
d. Certified True Copy of Two (2) valid government issued Identification Card with photo (e.g. Passport, Driver’s License, PRC License, etc.) of Authorized Representative, and
e. Bank Certification or any proof of funds availability.
4. The Bidder commits to abide by the decision of the NFA Region ___-RSBAC, waives its right to seek legal remedies against NFA , and holds its Regional Director, NFA Region ___-RSBAC, TWG and Secretariat free from any liability, costs, and expenses, suit or allegation arising from its participation in this bidding process;
5. All information in this statement, including attachments and enclosures thereof, are true and correct. Any falsity, error, or misrepresentation shall constitute ground for disqualification from this bidding or revocation of award as determined by NFA;
6. The Bidder, its officers and staff or any representative thereof, shall not attempt to establish any contact with any of NFA Region ___-RSBAC, TWG and Secretariat on matters concerning the bidding from the date of the submission of their bids up to the conclusion of the bidding process, except for clarification on Proposal which must be in writing and addressed to the NFA REGION ___-RSBAC, through its Chairperson.

The Bidder, its Officers have neither given nor offered, nor will it give or offer, directly or indirectly, any bribe or other improper payment or advantage to any of the acts prohibited under R.A. 3019, otherwise known as the “Anti-Graft and Corrupt Practices Act”, as amended.

7. The Bidder authorizes NFA or its authorized representatives to conduct investigation and verification of the statements, documents and information submitted relative to our bid.

For this purpose, the Bidder hereby authorizes any public office, or any person or firm to furnish pertinent information deemed necessary and requested by NFA to verify statements and information provided in this statement.