REPUBLIC OF THE PHILIPPINES)

Province of ____________________) S.S.

City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF UNDERTAKING

I, WENCESLAO M. DIONISIO, of legal age, married, and with address at

Purok 6, Barangay Dalas, Labo, Camarines Norte, after having been duly sworn in
accordance with law, hereby depose and say:

1. That I am employed as Tribal Affairs Assistant II in the National Commission on

Indigenous Peoples-Camarines Norte Provincial Office;

2. That I have applied for Separation from the service effective January 31, 2021

3. That, I hereby authorize the National Commission on Indigenous Peoples

regional Office V to deduct all my financial obligations from the money value of
my terminal leaves or from any account accrue in my name;

4. That I am executing this affidavit to attest to the truth of all the above facts.

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

_____________, Philippines.

WENCESLAO M. DIONISIO
Affiant
ID. No._______________

SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant

whom I have identified through his competent evidence of identity as indicated above
and.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.