REPUBLIC OF THE PHILIPPINES )

DASMARIÑAS, CAVITE . . . . . . . ) S.S.

AFFIDAVIT OF UNDERTAKING

I, EMMA D. BALBALOSA, Filipino citizen, of legal age, and resident of

Blk. 32 Lot 47 Iran ST. San Marino Salawag ,Dasmariñas, Cavite, after being
duly sworn to in accordance with law, depose and state: That - -

1. I am the parent of ERICK JOHN D. BALBOSA a grade 8 student

from Dan hill Academy.

2. I am promise to pay my balance in Dan Hill School in month

of August 2017.

3. I am a parent of a child who promise to give a report card or

form 138 in school Salawag National High School until on or
before August 30 2017.

4. I am executing this affidavit to attest to the truth and veracity

of the foregoing and for whatever legal purpose the same
may serve;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10th

day of May 2017 in Dasmarinas, Cavite.

EMMA D. BALBALOSA
Affiant

SUBSCRIBED AND SWORN to before me this 10th day of May 2017

affiants affiant exhibiting to me her Solo Voters I’D_____________________
issued on at City of Dasmarinas.

Doc. No.
Page No.
Book No.
Series of 2017.