Republic of the Philippines )

Province of Cavite
Municipality of__________

AFFIDAVIT OF UNDERTAKING
I, MARY CRISTINE C. PERDIZ , of legal age, Filipino, and a resident of BRGY. BIGA, TANZA,
CAVITE, PHILIPPINES

SAINT CHARLES BORROMEO INTEGRATED SCHOOL, INC.

Name of School

Ph7 B15-A L5 Brooksidelane, San Francisco, General Trias City, Cavite, Philippines
Address of School

Hereby depose and say:

1.That I am the School Directress/Owner of SAINT CHARLES BORROMEO INTEGRATED

SCHOOL, INC;

2. In connection with our school’s intent to implement the face-to-face classes of School Year
2022-2023

3. All lacking/deficiencies with the School Safety Assessment Tool (SSAT) in my said intent and
application to be submitted and complied at the Department of Education.

4. Through the foregoing affidavit in my capacity I hereby undertake to submit the lacking
documents and complied the deficiencies on physical facilities based on standard requirements in
my application on or before August 15, 2022

5. I understand that my failure to perform the foregoing undertakings within the prescribed visit will
compel for the non-issuance of a permit in the implementation of face-to-face classes.

IN WITNESS WHEREOF, I hereunto affix my signature this day of 20 , at

.

MARY CRISTINE PERDIZ

Affiant

SUBSCRIBED AND SWORN TO before me this day of , 2022 at

, affiant having exhibited to me her _________ with
no._____________.

Doc. No.
Page No.
Book No.
Series of 20