Republic of the Philippines

AKLAN STATE UNIVERSITY

Banga, Aklan
www.asu.edu.ph
Telefax: (036) 267-5801

AFFIDAVIT OF UNDERTAKING

We, ________________________________________ (name of student)

____________________________________________ (name of Parent/Guardian) of
legal age, Filipino with residence and postal address at
________________________________ after having been duly sworn to in accordance
with the university policy, hereby depose and state:

1. That I am an incoming freshmen student who intends to enroll this 1 st Semester

2021-2022 in the ________________________at
_________________________
(Program) (ASU Campus)

2. That I am submitting the following enrollment requirements of the program I

intend to enroll.

o Original Grade 12 Report Card for New students/Old BEC Report Card/Certificate
of ALS
o Original Transcript of Record and Certificate of Transfer Credential for Transferee
o Original PSA Birth Certificate
o Original Certificate of Good Moral Character (signed by school head/authorized
representative)
o Four (4) recent ID pictures (2”x2”)

3. That should the requirements submitted proved to be “NOT VALID”, I

understand that my enrollment will be considered as NULL and VOID.

In witness whereof, I am affixing my signature this ______ day of ____ 2021 in

_____, Aklan, Philippines.

_____________________________
Printed Name and Signature of Student

___________________________________
Printed Name and Signature of Parent/Guardian