Republic of the Philippines

City of Manila

Affidavit of Undertaking

I, Juan Dela Cruz, Casual, Department of Justice, after having duly sworn to in
accordance with law, hereby depose and say that:

1. I hereby guarantee, to the best of my knowledge, that I am of good health status.

As such I agree to be part of the Skeleton Work Force of this office.
2. I hereby bind myself to submit the medical certification providing my health
status, upon the start of my employment;
3. I am executing this Affidavit to attest to the truth of the foregoing circumstances.

IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of May, 2020 in
the City of Manila, Philippines.

Juan Dela Cruz

SUBSCRIBED AND SWORN TO before me this ___________________ in City of

Manila, Philippines, affiant exhibiting to me his competent evidence of identity by way
of __________________ issued at ______________ on __________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.