REPUBLIC OF THE PHILIPPINES) S.

S
CITY OF MANILA )
Affidavit of Undertaking
I, ________________________________________ of legal age, married/single, Filipino, with
residence at __________________________________________________ after having duly sworn in
accordance with law hereby depose that:
1. I am the legal/biological parent/guardian of the following learner/s; (Ako ang magulang
o guardian ng mga sumusunod na mag-aaral)

(1) ______________________________ (4) ______________________________

(2) ______________________________ (5) ______________________________
(3) ______________________________ (6) ______________________________

2. That my child/children and/or learners under my custody is/are presently enrolled in

Manila Public School/s located at: (Ang aking anak / mga anak ay kasalukuyang
nakapagpalista/nakaenrol sa pampublikong paaralan sa Maynila na matatagpuan sa)
___________________________________ / ___________________________________;

3. That my household is a recipient of the City of Manila’s Educational Device (Tablet), which
was purchased through the Special Education Fund; (Ang aking sambahayan ay
kwalipikadong tumanggap ng Tablet na mula sa Lungsod ng Maynila)
Brand/Model/Serial/Product Number: _____________________________________
4. That I have received only one (1) Tablet regardless of the number of my children enrolled
in any Manila Public School; (Na ako ay nakatanggap ng isang (1) Tablet lamang kahit na
lumabis pa sa isa ang aking mga anak o mag-aaral na nasa aking pangangalaga na
nakaenrol sa alinmang pampublikong paaralan sa Maynila)
5. That my household is just a custodian of the said Tablet, and that ownership of the same
belongs to the Division of City Schools, City of Manila; (Na ang aking sambahayan ay
pansamantalang tagapangalaga lamang ng nasabing Tablet at ito ay pag-aari pa rin ng
Sangay ng mga Paaralang Lungsod, Lungsod ng Maynila)
6. That I will supervise my child/children in the use of the said device during class hours
and to ensure the use of the same purely for educational purposes only; (Na gagabayan
ko ang aking anak sa paggamit ng Tablet at sisiguraduhin na ito ay gagamitin lamang sa
pag-aaral)
7. That I will observe due diligence in taking care of the said Tablet for and in behalf of my
child/children and I will report immediately to the School Head in case the device is
defective, damaged, or lost; (Na pangagalagaan ko ang nasabing Tablet para sa aking
mga anak at kaagad kong ipaaalam sa punongguro kung ito ay depektibo/nasira/nawala)
8. That I will not pawn/mortgage or dispose the said device (Tablet) by way of donation,
transfer, sale, or even lend the same to any person; I will be held responsible for loss or
damage, unless it is due to ‘force majeure’ (Na hindi ko isasanla, ibebenta, ibibigay, o
ipahihiram ang nasabing gadget; Ako ay mananagot sakaling ito ay mawala o masira,
liban na lamang kung ito ay bunsod ng kadahilanang wala sa aking kontrol)
9. That by reason of moving up, graduation, transfer, or dropping out, I will return the tablet
to the School in good and usable condition within five (5) days from date of graduation,
transfer, or dropping out. If I fail to return/report within the grace period, I will be
responsible for the damage or loss of the same, even if it happened under ‘force majeure’;
(Na aking ibabalik sa paaralan ang Tablet na nasa mabuti at gumaganang kalagayan sa
loob ng limang (5) araw mula sa petsa ng pagtatapos/paglipat/paghinto kung ang aking
anak ay aalis o lilipat ng paaralan, o makakatapos o hihinto sa pag-aaral. Kapag hindi ko
ito naibalik sa itinakdang palugit, ako ay maaaring panagutin sa pagkasira o pagkawala
nito kahit pa ang dahilan ay wala sa aking kontrol)
10. That any violation of this undertaking shall hold the undersigned liable under existing
laws. (Na sa anumang paglabag sa kasulatang ito ay nauunawaan ko ang aking
pananagutan sa ilalim ng mga umiiral na batas)
SUBSCRIBED AND SWORN to before me this _______________________, at the City of Manila.

_______________________________ ____________________________
Parent/Guardian School Principal
ADMINISTERING OFFICER