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AFFIDAVIT OF UNDERTAKING

I _______________________________, legal representative with business and/or address at


_____________________________________under oath, hereby depose and state THAT;

1. I am the incumbent Legal Representative of


_______________________________________, organized to hire Overseas Contract
Workers, and has executed a Special Power of Attorney in favor of
________________________________, duly licensed by Philippine Overseas
Employment(POEA);

2. Pursuant to POEA Memorandum Circular No. 11 of 2009, regarding Amendment of


Section 8, Rule 1 and Section 5, Rule of part III of the POEA rules and Regulations
Governing the Recruitment and Employment of the Land Based Overseas Worker, I
undertake to comply with all obligations to my
Agency/ies.______________________________________________, as agreed upon
between our company and evidenced in our recruitment/service agreements;

3. I likewise UNDERTAKE and ASSUME full and complete responsibility for all
consequences which arise in connection with all the said registration;

4. I am executing this affidavit in compliance with the requirements for the issuance of
POEA Registration pursuant to the said memorandum circular.

IN WITNESS WHEREOF. We hereby set our hands this _______of day


__________________in _______________

________________________________

NAME AND DESIGNATION

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