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Republic of the Philippines}

City of Koronadal } S.S


x----------------------------------x

AFFIDAVIT OF UNDERTAKING

I, _______________________, of legal age, single/married, Filipino and a


resident of_______________________ after having been duly sworn to in accordance
with the law, do hereby depose and say THAT:

1. That I am an applicant for the position of Jail Officer 1 of the Bureau of Jail
Management and Penology Region XII;

2. That I am scheduled to undergo neuropsychiatric interview through tele-interview


using my personal Facebook account between me and that of my interviewer on
________ 2022;

3. That due to the privacy and confidentiality required by ethical standard in the
practice of profession by the interviewer, I prohibit myself to any video and audio
recording, picture taking or any way that the interview be heard by the person/s;

4. That any item taken from the above-cited circumstances be more aggravating if
these are reproduced, shared, talked-with or any possible means that any content
of the interview is leaked;

5. I fully understand that any violation of this undertaking would render me criminally,
civilly and administratively liable pursuant to Republic Act No. 4200 as amended or
otherwise known as the Anti-Wiretapping Law, and other pertinent laws; and

6. I, __________________, assured and take full responsibility on the observance of


these undertaking.

IN WITNESS WHEREOF, I have hereunto affixed my hand this____day of____,


2022 in ________, Koronadal City.

_______________________________
Signature over printed name

Subscribe and Sworn before me this______________________2022, in


___________________________________, Philippines, personally
appeared__________________, with_____________ ID No._________ issued
executed the foregoing instrument and he/she acknowledge the same is his/her free
act.
IN WITNESS WHEREOF, hereunto set my hand and affixed my notarial seal, the day,
year and place above written.

_____________________________
NOTARY PUBLIC

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