Sec Form-Cp Is - Exempt Commercial Paper Transactions Page 3

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SIGNATURES
The undersigned hereby certifies that the exemption applied for hereunder is available and all conditions set forth in SRC Rule
10.1 and Rule 10.1.6 have been met and complied with. Moreover, the purchase and sale of commercial papers shall not be
exempt from the coverage of the provisions of the Securities Regulation Code (“Code”) on civil and other related liabilities, and
other applicable provision of the Code on fraud.
Pursuant to the requirements of the Code and SRC Rule 10.1.6 this exemption is signed on behalf of the issuer by the
undersigned, thereunto duly authorized in the City of ______________________________ on ___________________________.
By:
_______________________________________
__________________________________
President
Chief Finance Officer
REPUBLIC OF THE PHILIPPINES )
CITY OF
)
SUBSCRIBED AND SWORN to before me in ___________ City ___________ day of ___________ 20__, affiants
exhibiting to me his/her _____________________ as follows:
Name/ID No.
Date Issue
Place of Issue
Notary Public
INSTRUCTION:
1.
Applicant shall file with the Commission five (5) copies of this SEC Form CP IS, one of which shall be manually signed
by a duly authorized person, who, in case of a juridical person shall be the President and Chief Finance Officer
For confirmation of exemption: All payments must be payable to the Securities and Exchange Commission by way of
2.
Cash, Cashier’s or Manager’s Check only.
Page 1 of 3
2016 SEC Form – CP IS

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