REPUBLIC OF THE PHILIPPINES )

_____________ CITY ) S.S

AFFIDAVIT OF UNDERTAKING

I, , of legal age, Filipino, and a resident of

____________________________________________________, the duly
sworn Authorized Representative of ____________________, an
applicant for an _________ License from the
__________(AGENCY)____________________, after having been duly
sworn in accordance with law, hereby undertake to perform the
following, in connection with my application:

1. That the ___(TASK)___ for _________ is still ___(PROGRESS)___;

2. That a copy of the job order shall be attached to this

Undertaking as evidence of the progress;

3. That the ___(TASK)___ to be developed would be fully within

the parameters set out by __(AGENCY)__’s standards;

4. That __(AGENCY)__ will be informed at the earliest instance

when such ___(TASK)___ shall be operational for their perusal
and scrutiny;

IN WITNESS WHEREOF, I hereunto affix my signature this ______

day of __________ 2023, at _______________________________________.
________________________
Affiant

SUBSCRIBED and SWORN to before me this ___ day of

__________ 2023 at __________, by Affiant who personally appeared
before me, exhibiting to me _______________________________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2023.