Republic of the Philippines

National Police Commission

NATIONAL CAPITAL REGION POLICE OFFICE
Camp Bagong Diwa, Taguig City

AFFIDAVIT OF UNDERTAKING

I, ROSE ANN Q. BLANCO, of legal age, Filipino Citizen, and presently

residing at 027 Scarha St., Kaingin 1, Brgy. Sto. Niño, Parañaque City, after
having been duly sworn to in accordance with law, do hereby depose and state
that:

1. I am a new applicant for Police Officer 1 (PO1);

2. I am a graduate of Bachelor of Science in Criminology;

3. I was born on January 10, 1998 as appearing in Local Registry Birth

Certificate, and that I am hereby notified that my declared birth date
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
effectivity of my 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, or

misdeclaration of my birthdate 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 ________________

in _____________, Philippines.

ROSE ANN Q. BLANCO

Affiant

SUBSCRIBED AND SWORN to before me this ____________ in

___________, Philippines.

Doc. No. ______

Page No. ______
Book No. ______
Series of _______.