DPRM FORM RSD-03-A (Revised 2018)

Republic of the Philippines

National Police Commission
PHILIPPINE HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City

AFFIDAVIT OF UNDERTAKING FOR PROMOTION

I, ___________________________________________________, of legal age, residing at

(Rank) (First Name) (Middle Name) (Last Name) (Qlfr)
________________________________________________________________________________,
a member of Philippine National Police, presently assigned at
______________________________________________designated to the position of
_________________________________________effective on _________________ after having
duly sworn to in accordance with law, do hereby depose and state that:

1. I am a candidate for promotion to the rank of __________________;

2. I posses all the mandatory qualifications (i.e.) eligibility, training, time-in grade and education)
and other collateral requirements for promotion;
3. All documents I have submitted to support my promotion are accurate, genuine and authentic
and that all the originals are now with me ready for verification and/or comparison anytime;
4. I will not seek reassignment and/or detail to other offices/units with six months from the
issuance of promotion order;
5. I am fully aware of my liability and responsibility in the forgoing declaration under the law and
regulation of the PNP, NAPOLCOM and CSC;
6. I agree to the AUTOMATIC NULLIFICATION of my promotion and I hold myself administratively
and criminality liable for “ DISHONESTY” and “ PERJURY” for falsehood, misinterpretation or
omission and for any fraudulent, falsification or tampered documents that I have submitted;
7. I have read and checked all entries appearing in my attached Personnel Accounting and
Information System (PAIS) Generated PDS and that I certify that all entries thereof are true and
correct;
8. I further certify that the foregoing declarations are true and accurate to the best of my
knowledge and ability and I hereby authorized the PNP to obtain and secure pertinent records
that will show my qualification standards, collateral requirements and case records and other
record related to this declaration if any, in any agency or office.
9. Since the pendency of my appeal/grievance/complaints for promotion renders this application
moot and academic, I hereby voluntarily withdraws said appeal/grievance/complaints for
purposes of promotion;
10. I have criminal and/or administrative case; YES NO
I was suspended from my present rank; YES NO
I was demoted from my present rank; and YES NO
An appeal is pending, in lieu thereof, before any judicial
and administrative or quasi judicial bodies YES NO
11. I have attached the certification from the court and quasi-judicial body on the status of the
case if applicable. YES N/A

*Continuation at the back (1 page only)*

 The following are the details of my pending criminal and/or admin case(s) and records of
suspension/demotion from my present rank; (If there’s none, put N/A on each column)
NATURE OF CASE CASE DATE
COMPLAINT/ COMPLAINT TITLE/NUMBER STATUS PENALTY/DECISION FILED/PERIOD
OFFENSE AND VENUE (PENDING IMPOSED
OR
RESOLVED)

NOTE: Use extra sheet if necessary

That I attest to the truthfulness of the foregoing declaration and submit myself to the legal
consequences thereof, if ever the statements above are wanting in truth and in substance. Affiant
declares that he/she has read and understood the affidavit of undertaking and that the same is his/her
act and deed.

___________________________
Affiant

SUBSCRIBED AND SWORN TO before me this _____ day of _________________, 2019 at

Camp Crame, Quezon City, Philippines.

_____________________________
(Notary Public)

Doc. No. _______________

Page No. _______________
Book No. _______________
Series of 2019