RSD DPRM FORM 2013.03, Repubiic of the Philippines National Police Commission NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE Camp Crame, Quezon City AFFIDAVIT OF UNDERTAKING [POLICE OFFICER 1 APPLICANT] t , Of legal age, (First Name) (Middle Name) (Last Name&/Qualifier) Filipino and presently residing at after having duly sworn to in accordance with law, do hereby depose and state: That | am a Police Officer 1 (PO1) applicant for this CY Regular and Attrition Recruitment Program; That | was born on That | am a graduate of and holder of (Depree/Course) eligibility; That | have not been dishonorably discharged from military employment or on Absence Without Official Leave or Dropped from Rolls from the PNP service or dismissed for cause from any civilian position in the Government; That | have no pending criminal case in any court, including at the Office of the Ombudsman or administrative case; That I have not been convicted by final judgment of an offense or crime involving moral turpitude; That | agree to the automatic nullification of my appointment as Police Officer 1 and hold myseff liable for perjury, falsehood, misrepresentation or omission of facts, if there exists a pending case against me and/or falsification or act of dishonesty for any fraudulent, fake or tampered documents that | have submitted; and That | further certify that the foregoing declarations are true and accurate to the best of my knowledge and ability and | hereby authorized the PNP to obtain and secure pertinent records that will show my qualification standards, collateral requirements and case records and other record related to these declaration if any, in any agency or office. FURTHER AFFIANT SAYETH NONE: (Afants Signature Over Printed Name) SUBSCRIBED AND SWORN to before me this day of at , Philippines, affiant exhibiting his/her CTC No issued at on : 2013 NOTARY PUBLIC