Republic of the Philippines)

Quezon City ) S.S.

AFFIDAVIT OF UNDERTAKING
(FOR 10-YEAR VALIDITY PERIOD OF LTOPF)

I,____________________________ of legal age, single, Filipino, and a

resident ____________________________________________________,
after having been sworn in accordance with law, do hereby depose and say,
THAT:

1. I am an applicant for License to Own and Possess Firearms (LTOPF);

2. I am opting to renew my LTOPF to have ten (10) years validity
period;
3. Having opted to have a 10-year LTOPF validity period, I shall
undertake to
submit Neuro-Psychiatric Clearance and Drug Test Result when
required
by the CPNP or his authorized representative;
4. I fully acknowledge and I am aware that if I fail or refuse to submit
Neuro-
Psychiatric Clearance and Drug Test Result, my LTOPF and of the
firearm
registration shall be revoked immediately without prior notice;
5. I am executing this affidavit to attest to the truthfulness of the
foregoing and
for all legal intents and purposes.

IN WITNESS WHEREOF, I here unto affix my signature this _______day of

2022 at ___________________

_______________
AFFIANT

PSUBSCRIBED AND SWORN TO before me this _______day of ______ 2022

at , affiant having exhibited to me his ID Card Number ____________ issued
on _________ 2022 and with Expiration Date of ________________

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