FORM NO.CMD-CapAlloc-02

AFFIDAVIT OF CAPACITY AND ENERGYALLOCATIONS

BY RETAIL ELECTRICITY SUPPLIERS (RES)

REPUBLIC OF THE PHILIPPINES }

CITY OF ______} SS

I, ______, of legal age, single/married, residing at ______, for and in behalf of ______, after being sworn in accordance with law,

(Name of RES)

depose and say, That:

I am the General Manager of ______;

(Name of RES)

I attest to the fact that our company is complying and will continue to comply with the provisions and requirements for a RES as embodied in Resolution No.5, Series of 2013 entitled “A Resolution on Disclosures of Capacity and Energy Allocations by Distribution Utilities in the Luzon and Visayas Grids and Retail Electricity Suppliers.”

A. The following are the capacity and energy (in MW and MWh) that our company has contracted with GenerationCompanies (including Independent Power Producer Administrators), purchased from the Wholesale Electricity Spot Market, or generated for the (1st, 2nd, 3rd, 4th) Quarter of 201__:

Affiliate / Non-Affiliate
Contracted Capacity (MW) / Contracted Energy (MWh) / Contracted Capacity (MW) / Contracted Energy (MWh)
From Bilateral Contracts
Name of Generation Company A
Name of Generation Company B
Name of Generation Company C
WESM Purchases
Generation, if any
Total

(use additional sheet if necessary)

B. The list of contestable customers and the capacity and energy(in MW and MWh) that our company allocated for such customers for the (1st, 2nd, 3rd, 4th) Quarter of 201__ are as follows:

Affiliate / Capacity Allocation (MW) / Energy Allocation
(MWh) / Non-Affiliate / Capacity Allocation (MW) / Energy Allocation (MWh)

I further swear or affirm that all statements made in this affidavit are true, correct and complete and that any changes in such information will be provided to the Energy Regulatory Commission in a timely manner.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ______,201__, in the City of ______, Philippines.

______

(Signature of affiant)

SUBSCRIBED and sworn to before me, in the City of ______, this ______day of ______, 201__ by ______with Community Tax Certificate No. ______issued at ______on ______, 201__.

NOTARY PUBLIC

Until December 31, 201__

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of 201___

cmd/datl/fscj