Republic of the Philippines

NATIONAL POLICE COMMISSION

PHILIPPINE NATIONAL POLICE SPECIAL ACTION FORCE
FORCE INTELLIGENCE AND INVESTIGATION DIVISION
Camp Bagong Diwa, Bicutan, Taguig City

___________________
Date

SECURITY DECLARATION

I, __________________________________________________, assigned with

______________________________________________ hereby declare and affirm:

1. That I shall be responsible in preserving the security of all classified

information which may be imparted to me as a result of my employment with the
Philippine National Police (PNP), and undertake to comply with such regulations
concerning as from time to time be laid down;

2. That I shall not divulge any classified information acquired by me to any

unauthorized person, either verbal or written form;

3. That I shall not, without the authority of the Chief, PNP, publish any
classified information which I had Acquired or to which I have access owing to my
position whether orally or in any document, article, book, film, or otherwise;

4. That I shall, upon relief/transfer or retirement, surrender any classified

sketch, plan, model, article, note, security tag/badge, or document made or acquired by
me in the course of my official duties;

5. That shall I fail to safeguard classified information I can be liable to: lose
my security clearance, prosecution under the Revised Penal Code and Presidential
Degree 51, and be declared as a security risk;

I hereby certify that I have read and fully understood the contents of my
security declaration and I am aware of my responsibility for safeguarding the PNP
classified information.

I hereby further certify that I fully understood that the provisions of this security
declaration apply not only during the period of my employment with the PNP shall have
ceased. That I am liable to prosecution under the Revised Administrative Code,
Presidential Degree 51, and other existing laws and regulations of the Republic of the
Philippines, if cites by intent or negligence, I allow classified information to pass unto
unauthorized hands.

Signature: __________________
Name: _____________________
Rank: ______________________

SUBSCRIBED AND SWORN to before me this ______________ day of

_________2021.

__________________
Administrative Officer