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2019MandatoryDisclosure Declaration Verification Page

The document is a declaration signed by Fatima Mae A. Marzan agreeing that regulatory agencies like the Securities and Exchange Commission can collect, use, disclose, share, and process her personal information provided in corporate documents for implementing regulations. She declares under penalty of perjury that the matters set forth are true and correct to the best of her knowledge. The declaration was signed and notarized on a specific date in a given location.

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134 views

2019MandatoryDisclosure Declaration Verification Page

The document is a declaration signed by Fatima Mae A. Marzan agreeing that regulatory agencies like the Securities and Exchange Commission can collect, use, disclose, share, and process her personal information provided in corporate documents for implementing regulations. She declares under penalty of perjury that the matters set forth are true and correct to the best of her knowledge. The declaration was signed and notarized on a specific date in a given location.

Uploaded by

fatimaemrzn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DECLARATION/VERIFICATION

I, __Fatima Mae A. Marzan_,____Legal Researcher_ of Delta Air International Aviation


Academy, Inc., agree and consent that the Securities and Exchange Commission
(“Commission”), and other regulatory agencies with which the Commission may coordinate and
cooperate, may collect, use, disclose, share and process personal information of individuals
provided in this form and/or other corporate documents submitted and filed with the
Commission, for the purpose of implementing the provisions of the NPO Guidelines.

Further, I declare under the penalty of perjury, that all matters set forth herein have been made
in good faith, duly verified by me and to the best of my knowledge and belief, are true and
correct.

Done this ______ day of __________________, 20___ in ______________________________________.

FATIMA MAE A. MARZAN


Signature over Printed Name

Subscribed and sworn to before me in __________________________________ on ____________________,


affiant personally appeared before me and exhibited to me his/her competent evidence of
identity _____________________________________ issued at ____________________ on ___________________________.

NOTARY PUBLIC FOR _______________


Notarial Commission No. ____________
Valid until _____________________________
Roll of Attorney No. __________________
PTR No. ________________________________
IBP No. ________________________________
Office Address: _______________________

Doc. No. ________


Page No. ________
Book No. ________
Series of ________.

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