Undertaking of Confidentiality

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UNDERTAKING OF CONFIDENTIALITY

____________ (position) from ______________________(school), _______________ (SDO)

I, _______________________, of legal age, married/single, Filipino citizen and resident


of ____________________________________, after having duly sworn to in accordance with
law, hereby state that:

1. I am an employee of the Department of Education Region 4A


CALABARZON who received the copies of the PIVOT 4A Learner's
Material Module in soft copies for printing, reproduction and distribution to
DepEd officials, personnel and learners only.

2. I hereby undertake not to divulge, publish, circulate or share in any manner,


the module, in part or in whole or a copy of which to any person or
institution without written consent to the Chief of the Curriculum &
Learning Management Division of DEPED 4A.

3. I understand that any violation of this undertaking shall be a ground for


DepEd Region 4-A CALABARZON to file civil, criminal or administrative
complaint against me before competent court, office or quasi-judicial body.

IN WITNESS THEREOF, I have hereto signed my signature this ____________


at _________________________.

____________________________
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public for and in


___________________________ this ______________ by affiant who executed to me his/her
competent proof of identity _____________________________ issued on __________________
issued at ____________________________.

UNDERTAKING OF CONFIDENTIALITY

__________________(Position) from ______________________________(Publishing Company)


I, _______________________, of legal age, married/single, Filipino citizen and resident
of ____________________________________, after having duly sworn to in accordance with
law, hereby state that:

1. I am _________________________of ___________________________________
(Position/Designation) (Name of Publishing Company)
__________________________________________________________________
_
(Complete Address of Company)
who received the copies of the PIVOT 4A Learner's Material Module in soft
copies for printing, reproduction and distribution to DepEd officials,
personnel and learners only.

2. I hereby undertake not to divulge, publish, circulate or share in any manner,


the module, in part or in whole or a copy of which to any person or
institution without written consent to the Chief of the Curriculum &
Learning Management Division of DEPED 4A.

3. I understand that any violation of this undertaking shall be a ground for


DepEd Region 4-A CALABARZON to file civil, criminal or administrative
complaint against me before competent court, office or quasi-judicial body.

IN WITNESS THEREOF, I have hereto signed my signature this ____________ at

_________________________.

____________________________
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public for and in


___________________________ this ______________ by affiant who executed to me his/her
competent proof of identity _____________________________ issued on __________________
issued at ____________________________.

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