DPRM RSD FORM 2015-01-C

Republic of the Philippines

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

AFFIDAVIT OF UNDERTAKING
(Incontestability of Declared Birth Date)

I,EDERLINAGALABAYJAVIER, of legal age, Filipino, (First Name)(Middle Name)(Last Name)(Qualifier)

presently residing atP-6, Barangay San Pablo, Cauayan City, Isabela, Philippines,after having, been duly
sworn to in accordance with law, do hereby depose and state that: 1.I am an applicant for thisCY2021
PATROLMAN/PATROLWOMANRegular Recruitment program; 2. I am a graduate of_Bachelor of Science in
Criminologyand holder ofRegistered Criminologisteligibility; (Degree/Course) 3.I w a s b o r n
o n 1/31/1998(Month/Day/Year format) as appearing in my PSA BIRTH CERTIFICATE(Proof of
Birth e.g. NSO issued Birth Certificate/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 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. EDERLINA GALABAY JAVIER Affiant SUBSCRIBED AND SWORN TObefore me
this ____ day of _______________, 20___, at ____________________________, Philippines.
________________________ (Notary Public) Doc:________ Page:_______ Book:________ Series of ______