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Affidavit With CCTV

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Republic of the Philippines

Province of South Cotabato


City of Koronadal

AFFIDAVIT

I, ___________________, Filipino, of legal age, single and a resident of City of Koronadal,


South Cotabato, having been duly sworn according to law, do hereby depose and state,
THAT:

1. I am the _____________________ of Development Bank of the Philippines (DBP)


located at ___________________City of Koronadal, South Cotabato;

2. Since we are a banking institution and engaged in different financial services, I


wanted to make sure the security of the bank and its employees, hence I installed
_____ (____) units of Close Circuit Television (CCTV), one (1) unit CCTV Recorder
and one (1) unit Network Switch, more particularly described as follows:

DEVICE QTY BRAND DEVICE TYPE


DHI-NVR5832-4KS2-VGSY 1 DAHUA CCTC Recorder
DAHUA 27 PORTS PoE switch (240W) 1 Network Switch
IPC-HDBW2320R-ZS 10 IP Camera
IPC-HFW2320R-ZS-IRE6 6
WHI-B121H 2 HIKVISIO
N

3. One of the requirements for the renewal of the business permit of the said bank
is the installation of a Close Circuit Television (CCTV) within its premises;

4. I hereby sworn that said bank have existing functioning CCTV within its
premises;

5. I am freely and voluntarily executing this affidavit to attest to the truthfulness of


the foregoing statements and submit to the legal consequences thereof.

IN TRUTH WHEREOF, I have hereunto set my hand this _______________ in the City of
Koronadal, South Cotabato, Philippines.

__________________
Affiant
DBP ID no. __________________

SUBSCRIBED AND SWORN to before me this ____________________ in the City of


Koronadal, South Cotabato, Philippines with affiant exhibiting to me his Identification card
with its number written below his name with his photograph appearing thereon sufficient
to establish his identity.

Doc. No.
Page No.
Book No.
Series of 2021.

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