Certificate of Non-Coverage (CNC) 1-Page Application Form
Certificate of Non-Coverage (CNC) 1-Page Application Form
Landline
No.
Brgy. Pinatuad
N/A
City/Municipality
Mobile
No.
Nabas
09195130779
Zone Classification
(i.e. industrial,Form
residential)
FaxApplication
No.
1-Page
N/A
Province
Region
Email
Aklan
VI
1. Name of the
Project
Name
Lydia D. Merecidio
Designation
BSPMC
7. Project Type/Undertaking
Consumer Product Laboratory
8. Project Size
Space Allocation/Area
(i.e. km, ha, sqm)
Others:
Production Rate
(i.e. MT/year)
9. Description of Project Activities (i.e. during pre-construction, construction, operation and
abandonment)
(See Attached POW)
Prepared/Submitted by:
LYDIA D. MERECIDIO
Concurred/Approved by:
FERDINAND S. NAPAT
Signature over Printed Name
Owners/Proponents Signature over Printed Name