Republic of the Philippines

Province of Negros Oriental } SS

City of Dumaguete

A F F I D A V I T O F U N D E R T A K I N G

I, JESSLOR CATADMAN RODRIGUEZ, single, of legal age, Filipino Citizen

and a resident of Barangay Dahile, Mabinay, Negros Oriental, Philippines, after
being duly sworn to in accordance with law, hereby depose and state:
1. That I am an applicant for the Philippine Police Recruitment Program;
2. That I am a graduate of Bachelor of Science in Criminology and holder of
Professional License for Criminology;
3. That I was born on July 27, 1999 as appearing in my Certificate of Live Birth
issued by the Philippine Statistics Authority, and that I am hereby notified that
my declared birthdate indicated herein shall become incontestable in so far as
my service in the PNP is concerned after the lapse of six (6) months from the
effectively of appointment;
4. That in the event that I will file a petition to alter or correct entries in my birth
records before any court or the CSC, I hereby undertake to first inform the
DPRM (Attn: C, RMD) before filing the same; and
5. That I am aware that any misrepresentation, omission, misdeclaration of my
birth date committed during the initial recruitment/appointment process or
finding that I entered the service below the minimum or above the maximum
allowable age at the time of my appointment, without the necessary age waiver
shall be a ground for the filing of an administrative case/institution of
termination proceedings for dishonesty, as applicable, as well as the filing of
criminal charges for perjury..
IN WITNESS WHEREOF, I have hereunto set my hand this May 2, 2023 at
Dumaguete City, Negros Oriental, Philippines.
JESSLOR CATADMAN RODRIGUEZ
Affiant
CTC/ID No.: G08-06-000856
Issued on/Expiry: 20 August 2023
Issued at/by: LTO
SUBSCRIBED AND SWORN to before me this 2 May 2023 at Dumaguete City,
Negros Oriental, Philippines personally appeared the affiant, who is known by me
personally and/or identified by me through her presented valid proof of
identification and who signed this document in front of me and voluntarily takes her
oath of affirmation.

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Series of 2023 .