Republic of the PhilippinesDepartment of the Interior and Local Government
National Police CommissionNATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City
AFFIDAVIT of UNDERTAKING(Revised Form 2009)
I, _______________________________________________, of legal age, residing at (Rank) (First Name) (Middle Name) (Last Name)
__________________________ a bonafide member of Philippine National Police, presently
assigned at _______________________ designated to the position as __________________
(Office/Unit)
__________________________ effective on _________________________________ after
having duly sworn to in accordance with law, do hereby depose and state:
That, I am an applicant for promotion to the rank of
__________________________;
That, my highest educational attainment in a recognized institution of higher learning is ___________________________________________________; (Baccalaureate/Masters/Doctorate Degree)
That, my highest promotional eligibility is ______________________________________;
(NAPOLCOM Exam/CSC Prof/PO/PD 907/RA 1080)
That, my highest mandatory training is ___________________________________ which I
(Equivalence Accredited by DHRDD)
completed on _______________________________:
That, all documents I have submitted to support my promotion are genuine and authentic and that all the originals are now with me for verification and/or comparison;
That, I have no pending criminal nor administrative case or any other claim filed against me as of this date in any court, tribunal or quasi-judicial agency and there is no complaint proffered against me before the Ombudsman or the PLEB;
That, if I should therafter learn that a criminal or administrative case has ben filed or pending, or that a complaint was proffered against me before the Ombudsman or the PLEB, I shall report the fact within five (5) days from knowledge to the Promotion Board through the Secretariat the complete statement of the present status of the case;
That, I agree to the automatic nullification of my promotion and I hold myself liable for perjury, falsehood, misrepresentation or omission or act of dishonesty:
a. If it would be discovered later on that a criminal or an administrative case was filed or is pending or, that a complaint was proffered against me before the Ombudsman or the PLEB and there was failure on my part to immediately inform the Board of the same;b. Or for any fraudulent, fake or tampered documents that I have submitted;
That, I attest to the truthfulness of this undertaking and submit to the legal and administrative consequences thereof if ever the statements above are wanting in truth and in substance.
______________________________________ Affiant
Community Tax Cert No.______________________________Dated:____________ Place:___________________________
SUBSCRIBED AND SWORN TO before me this ____ day of _______________, 2009, at ____________________________, Philippines.
___________________________________ (Administering Officer)
Republic of the PhilippinesDepartment of the Interior and Local Government
National Police CommissionNATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City
AFFIDAVIT of UNDERTAKING(Revised Form 2009)
I, _______________________________________________, of legal age, residing at (Rank) (First Name) (Middle Name) (Last Name)
__________________________ a bonafide member of Philippine National Police, presently
assigned at _______________________ designated to the position as __________________
(Office/Unit)
__________________________ effective on _________________________________ after
having duly sworn to in accordance with law, do hereby depose and state:
That, I am an applicant for promotion to the rank of
__________________________;
That, my highest educational attainment in a recognized institution of higher learning is ___________________________________________________; (Baccalaureate/Masters/Doctorate Degree)
That, my highest promotional eligibility is ______________________________________;
(NAPOLCOM Exam/CSC Prof/PO/PD 907/RA 1080)
That, my highest mandatory training is ___________________________________ which I
(Equivalence Accredited by DHRDD)
completed on _______________________________:
That, I have pending case (s) hereunder:
CRIMINAL/Admin Case
(s)
STATUS OF THE CASE
(How many years)
CASE NR COMPLAINANT(S)
NATURE OF OFFENSE (S)
That, all documents I have submitted to support my promotion are genuine and authentic and that all the originals are now with me for verification and/or comparison;
That, I agree to the automatic nullification of my promotion and I hold myself liable for perjury, falsehood, misrepresentation or omission or act of
dishonesty or for any fraudulent, fake or tampered documents that I have submitted;
That, I attest to the truthfulness of this undertaking and submit to the legal and administrative consequences thereof if ever the statements above are wanting in truth and in substance.
______________________________________ Affiant
Community Tax Cert No.______________________________Dated:____________ Place:___________________________
SUBSCRIBED AND SWORN TO before me this ____ day of _______________, 2009, at ____________________________, Philippines.
___________________________________ (Administering Officer)