I DECLARE UNDER PENALTY OF PERJURY that all information in this application is true and correct based on my personal knowledge
and authentic records submitted to the Local Government. Any false or misleading information supplied, or production of
fake/falsified documents shall be grounds for appropriate legal action against me and automatically revokes the permit.
I also agree to comply with the post-regulatory requirements and other deficiencies (for renewal) within 30 days
from release of the permit. Further, I hereby agree that all personal data (as defined under the
Data Privacy Law of 2012 and its implementing Rules and Regulations) and account transaction information or
records with the Municipal Government may be processed, profiled or shared to requesting parties or for the purpose of any court,
legal process, examination, injury and audit or investigation of any authority.