I, ___________________, Filipino, single, a registered and licensed
Certified Public Accountant, with address at __________________ Tagbilaran City, after having been duly sworn in accordance with law hereby depose and state that:
1. I applied for the renewal of my Professional Identification Card
(PIC) with the Professional Regulation Commission;
2. As requirement for the renewal of my PIC to date, I have to
submit proof of 15 CPD Credit Units in compliance with Republic Act (RA) No. 10912 or the Continuing Professional Development Act of 2016, and its Implementing Rules and Regulations (IRR) on the next renewal of my PIC;
3. Due to my previous employment in Klynveld Peat Marwick
Goerdeled (KPMG) based in the UK, I failed to comply with the required CPD credit units.
4. I undertake to comply with the required 15 CPD credit units
during the validity of my PIC in additional to the required 15 CPD Credit Units for the subsequent renewal period;
5. I will submit proof of my compliance with 30 total number of CPD
Credit Units during the next renewal of my PIC:
6. I understand that in the event I fail to submit compliance with the
required total number of CPD Credit Units, I cannot renew my PIC on the next succeeding renewal periods;
7. I am executing this affidavit to attest to the truth and veracity of
the foregoing statements for whatever legal purpose it may serve;
8. AFFIANTS FURTHER SAYETH NAUGHT.
_____________________ Affiant
SUBSCRIBED AND SWORN to before me this ___ day of August 2019,
at Tagbilaran City, Philippines, affiant exhibiting to me his Voter’s ID issued by the COMELEC.
Doc. No._______ Page No._______ Book No._______ Series of 2019