Affidavit of Undertaking
Affidavit of Undertaking
Affidavit of Undertaking
12. I have attached the certification from the court and quasi-judicial body on the status of
the case, if applicable. YES N/A
*Continuation at the back page
The following are the details of my pending criminal and/or admin case(s) and records of
suspension/demotion from my present rank: (If there’s none, put N/A on each column)
CASE CASE STATUS
NATURE OF COMPLAINT/ PENALTY/ DATE FILED/
COMPLAINANT TITLE/NUMBER (Pending or
OFFENSE DECISION PERIOD PENALTY IMPOSED
AND VENUE Resolved)
N/A N/A N/A N/A N/A N/A
That I attest to the truthfulness of the foregoing declaration and submit myself to the
legal consequences thereof, if ever the statements above are wanting in truth and in
substance. Affiant declares that he/she has read and understood the affidavit of undertaking
and that the same is his/her act and deed.
______________________________________
Affiant
SUBSCRIBED AND SWORN TO before me this ____ day of _______________, 21___, at
____________________________, Philippines.
___________________________
(Notary Public)
Doc. No._____________
Page No. ____________
Book No. ____________
Series of 2017