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Republic of the Philippines)

City of Koronadal )S.S.


X-------------------------------------X

AFFIDAVIT OF UNDERTAKING
I, ALEXCES BILLONES MENDOZA, a Filipino, of legal age, Single and a resident of
Purok Bonifacio, Brgy. Guinsang-An, Santo Niño, South Cotabato, Philippines, after being
sworn to in accordance with law, depose and state:

That I am the registered owner of a certain motor vehicle more particularly described as
follows:

MAKE TYPE : KAWASAKI


TYPE OF BODY : MOTORCYCLE
ENGINE NO. :DYYWLK11016
SERIAL/CHASSIS NO :MO2A76BY1LWK6202B
PLATE NO. :120103

1. That on August 10, 2023, while travelling along the National Highway in Koronadal City, I
was caught by a Land Transportation Officer for violation of Driving an Unregistered Motor
Vehicle;

2. That I hereby undertake that I have already registered the above-described motor vehicle to
comply with the rules and regulations of the Land Transportation Office;

3. That I am making these statements under oath and in good faith in order to establish the fact
that the said motor vehicle was already registered;

4. That I am executing this affidavit voluntarily to attest to the truth of the foregoing facts based
on personal knowledge and authentic records in compliance with the requirements of the
Land Transportation Office and for whatever legal purpose it may serve best.

AFFIANT FURTHER SAYETH NOUGHT.

IN WITNESS WHERE OF, I have hereunto set my hand this _____________________


at Koronadal City, South Cotabato, Philippines.

ALEXCES BILLONES MENDOZA


Owner

SUBSCRIBED AND SWORN to before me, this ___________________ in the City of


Koronadal, South Cotabato, Philippines. Affiant exhibited to me his competent evidence of
identity as ALEXCES BILLONES MENDOZA.

Doc No. :____


Page No:____
Book No:____
Series of_____;

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