Annex "D": Securities and Exchange Commission

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Republic of the Philippines

Department of Finance
Securities and Exchange Commission

ANNEX “D”

SUBMISSION OF E-MAIL ADDRESSES AND MOBILE NUMBERS


(for Corporations)

Corporate name: DGM Car Care Auto Shop Inc.

SEC registration number: 2021060016538-01

Official electronic mail address: ________________________________________________________________

Official mobile number: ________________________________________________________________

Alternate electronic mail address: ________________________________________________________________

Alternate mobile number: ________________________________________________________________

AUTHORIZATION

I, [Name of the Duly Authorized Representative], the duly authorized representative of DGM Car Care Auto Shop
Inc., (hereinafter “the Corporation”), a corporation duly organized and existing under the laws of the Philippines,
with office address at M.K. Lina St. Purok 2 San Sebastian (Balagbag), Lipa City Batangas Region IV-A
CALABARZON and SEC Registration Number 2021060016538-01, hereby authorize the Securities and Exchange
Commission of the Philippines to send notices, letter-replies, orders, decisions, and/or other documents
emanating from the Commission through the Corporation’s electronic (“e-mail”) addresses [e-mail addresses of
the Corporation], and mobile numbers [mobile numbers of the Corporation] for the purpose of complying with
the notice requirement of administrative due process.

or

CERTIFICATION OF AUTHORIZATION

I, [Name of the Corporate Secretary], the duly elected/appointed corporate secretary of [name of the
corporation], (hereinafter “the Corporation”), a corporation duly organized and existing under the laws of the
Philippines, with office address at [principal office address], and SEC Registration Number [SEC Registration
Number], hereby certify that, in a resolution dated [date of resolution], the board of directors/trustees of the
Corporation approved the designation of the following electronic (“e-mail”) addresses, [e-mail addresses of the
Corporation], and mobile numbers [mobile numbers of the Corporation], and authorized the Securities and
Exchange Commission of the Philippines to send notices, letter-replies, orders, decisions, and/or other documents
emanating from the Commission through the foregoing e-mail addresses and mobile numbers for the purpose
of complying with the notice requirement of administrative due process.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __________________ day of ____________________ at
________________________________.

[Signature over printed name]


Representative/Corporate Secretary
Republic of the Philippines
Department of Finance
Securities and Exchange Commission

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