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Undertaking to Comply with the Requirements on Public Solicitation Permit

DSWD public solicitation permit undertaking to comply with the requirements

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DSWD-SB- PS-F-006:Undertaking

UNDERTAKING TO COMPLY WITH THE REQUIREMENTS
ON PUBLIC SOLICITATION PERMIT

I/We

(name/s)

(Name of Corporation/Organization/Association)

,
with

(designation)
postal

of

address

at

________________________________________________________________________________,
that for and in consideration of my/our application to solicit or receive contributions for public
welfare purposes during state of emergency/calamity, hereby undertake to comply with the following
Department of Social Welfare and Development (DSWD) requirements to wit:
a.
b.

(indicate the list of requirements for submission as per DSWD guidelines on public

c.

solicitation)

d.
e.
THAT I/We shall submit said requirements to (indicate specific DSWD Office e.g Standards
Bureau or Field Office ___) on (indicate date).
THAT non-submission of the listed requirements on or before the specified dates, would be
grounds for non-approval of my/our succeeding application for authority to conduct fund raising
activities.

Certified Correct
_____________________________________
(Signature Over Printed Name of the Agency Head
or Authorized Representative)

___

_______________
Date

SUBSCRIBE AND SWORN to before me the undersigned Notary Public for and in
___________________, this ______ day of ___________________ at _________________________
by ________________________________________________________ with Community Tax
Certificate no. _______________________________ issued at _______________________ on
________________________.

NOTARY PUBLIC

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