Republic of the Philippines)

Done in the City of Baguio ) S.C.

AFFIDAVIT OF UNDERTAKING

I, _________________________, of legal age, Filipino citizen,

married/single and with office address at
________________________________________, Philippines, after having
been sworn to in accordance with law, depose and state as follows:

1. That I was the proprietor/manager/supervisor/ of

___________________________ with business address at
______________________________, Philippines.

2. That I personally know that ____________________________ has

been my employee as __________________ from _________________
until _________________.

3. That he/she has been a good employee and has been performing
his/her duty in accordance with the rules and regulation of the company.

4. That he/she has not been charged criminally and or civilly for any
violations of the rules and regulations imposed by the company from the
time he/she employed and thereafter.

5. That to the best of my knowledge, he/she has not been a member of

left leaning organizations such as GABRIELA, BAYAN MUNA,
ANAK PAWIS and other organizations of similar nature during his/her
employment.

6. That I am executing this affidavit to attest to the truthfulness of the

foregoing and for all legal intents/purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ of October

2018 at Baguio City, Philippines.

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 _______________________________
Affiant

Notarial Subscription

SUBSCRIBED AND SWORN TO BEFORE ME, this ____th day of October

2018 at Baguio City, Philippines by the affiant who personally appeared
before me and to me has exhibited a competent proof of his/her identity
consisting of an identification card with number _____________________
issued by the ____________________ valid until ____________________
bearing specimens of his/her signature and photograph.

WITNESS MY HAND AND SEAL.

Doc. No. ____;

Page No.____;
Book No.____;
Series of 2018.

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