REPUBLIC OF THE PHILIPPINES ) )ss. AFFIDAVIT OF UNDERTAKING (For Patrolman/Patrolwoman) 1, JErPERSON C- EVE 1Quez of legal age, Filipino, and presently residing at POBLACION, CALITAAN CCOADERTAL MiNDOZO , after having duly sworn to in accordance with law, do hereby depose and state that: 1. I hereby confirmed the veracity of my date of birth and my civil status; 2. [hereby undertake to serve the office/unit where I am appointed for a period of 10 years; 3. 1am willing to be assigned anywhere in the Philippine due to exigency of the service; 4, Ihave not been dishonorably discharged, placed on AWOL status, dropped from the rolls, or dismissed for a cause from the Armed Forces of the Philippines, Philippine National Police, Philippine Coast Guard, other government institution, instrumentality, agency, or government owned and controlled corporation; 5. Ihave not been convicted by final judgment of a crime involving moral turpitude; 6. I have no pending criminal/administrative case in any court, tribunal, or quasi- judicial body; 7. Thave no previous nor present derogatory record or medical deficiency which either unintentional or intentional through any fraudulent scheme, machination or any other means, were not discovered during the recruitment process; 8. I shall not contract any loan, insurance plan, pension plan, mutual fund, or other vest ment contract from any lending, insurance, investment, pension or any financial institution except for a single insurance contract with the PSMBFI; 9. fully understand that my pregnancy (for Patrolwomen) during the training shall cause the termination of my employment as member of the PNP; and 10.1 hold myself criminally and administratively liable for any false or misrepresentation of facts stated in my Personal Data Sheet or other documents | submitted to the PNP including this Undertaking. The same will also cause the automatic nullification of my appointment as a Patrolman/Patrolwoman. That | further certify that the foregoing declarations are true and correct to the best of my knowledge and belief. SJBSCRIBE_AND SWORN to before me this 89 dll of _ at Philippines. Dos No O3F Page No. Book No. Series No.REPUBLIC OF THE PHILIPPINES ) )ss. AFFIDAVIT OF CONFIRMATION 1, _JErTrRGDN_C-rNRIaUET , 8 Filipino of legal age, a resident of ___FQprBcipd, CALINTAAN OCCIDERTAT iy! ORO a bona fide applicantimember of the Philippine National Police for_PATROL MAN and presently processed at Cluster-Region 4® after having been duly swom to in accordance with law, do hereby depose and says that: 1. Pursuant to this affidavit, | am confirming that the following are my legal beneficiaries and/or heirs, to wit: BIRTHDAY NAME RELATIONSHIP | Ot ROCELDA ©. TNRIQUEL MOTHER o/04/ i790 Hixon M- TNRIGUEZ V2. FATHER 12/1968 2. My relationships with persons whose names are listed above are borne out by the fact that | am the lawful spouse and the legitimate/illegitimate father/mother of the afore-named children as evidenced by the attached marriage contract and birth certificates; and 3. I hold myself criminally and administratively liable for perjury and dishonesty should any statements made herein are inaccurate or later on found to be false and in of law. AFFIANT SAYETH NAUGHT: 2020 SUBSCRIBE AND SWORN to before me this a hey of at Philippines. Doc No. 038 eee Series No.