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REPUBLIC OF THE PHILIPPINES }

Municipality of ________________ } S.S.

AFFIDAVIT OF UNDERTAKING
I _________________________, of legal age, ______________, and with postal
(name) (civil status)
address at ______________________________________________________________,
(address)
after being sworn to in accordance with law do hereby depose the following;

1. That, I am an applicant for Fire Officer 1 of BFP-Region 4A from 15 June 2020 to


10 July 2020 only.

2. That, I understand to submit the following documentary requirement/s on or


before the scheduled Neuro-Psychiatric Examination, to wit;

A. Authenticated copy of ____________________ due to


_________________________________________.

B. Authenticated copy of _____________________ due to


_________________________________________.

3. That, in case of non-compliance herewith, BFP-R4A, its recruitment personnel


and staff shall not be held liable for the outright disqualification of the undersigned
from the current application.

4. That, I bind myself, and shall ensure such compliance/s to the best of my effort
and will, as stated in the foregoing.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at


(date)
____________________________, Philippines.

_______________
Affiant

SUBSCRIBED AND SWORN to before me this ____________day of


__________________2020 affiant exhibiting to me his/her CTC # _________________
issued at ___________________ on _______________.

NOTARY PUBLIC

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