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Republic of the Philippines ]

City of Tagbilaran ] S.S.

AFFIDAVIT OF UNDERTAKING

I, LOUIE LOPOS, Filipino, 14 years old, single, and a resident of Purok 6 Totolan, Dauis,
Bohol, after being sworn in accordance with law, hereby depose and say:

That I am a 1st year High School student of Tabalong High School, Tabalong, Dauis,
Bohol;

That I promise to be a good student and show interest and be diligent in my studies;

That I will obediently follow and abide all school rules and regulations;

That if ever I cannot comply with the foregoing conditions, I undertake to willingly
transfer to another school;

That I execute this affidavit voluntarily to attest to the truth of the foregoing statements
for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th day of December, 2012
at Tagbilaran City, Bohol, Philippines.

LOUIE LOPOS
Affiant

With my assistance:

LUCIA LOPOS
Mother

SUBSCRIBED AND SWORN to before me this 10th day of December, 2012 at Tagbilaran
City, Bohol, Philippines.

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