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ANNEX B.1: Undertaking Form (For Resignation)

UNDERTAKING

I, _________________________, of legal age, with _________________________, Philippines,


after having been duly sworn to in accordance with law, do hereby depose and state that:

1. I have tendered my resignation from _________________________ (the “Company) and


was accepted by the management effective on _________________________.

2. I am required to comply with the action items needed and submit all necessary
documents to facilitate the processing of my clearance, within one (1) week after the
effective date of my separation.

3. In cases where I will be unable to comply with the action items needed or submit any
document to complete my clearance process with the Company within one (1) week
after the effective date of my separation, I authorize the Company to proceed with the
tagging of my clearance and deduct from my final pay computation all noted and
computed accountabilities.

4. This affidavit is executed to attest to the truth of the foregoing facts and for whatever
legal purpose it may serve.

____________________

Affiant

HIGHLY CONFIDENTIAL

This contains HIGHLY CONFIDENTIAL information. It has been prepared for the SOLE and EXCLUSIVE use of the intended recipient.
Please be advised you are prohibited from sharing this information from the system and to disclose its contents to anyone else.
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SUBSCRIBED AND SWORN TO before me this ____ th day of _____, 20__, affiant
exhibiting to me his/her _______________________ issued on ________________ at
______________ and valid until _____________.

Doc No. ________ ;


Page No. ________ ;
Book No.________ ;
Series of 20__.

HIGHLY CONFIDENTIAL

This contains HIGHLY CONFIDENTIAL information. It has been prepared for the SOLE and EXCLUSIVE use of the intended recipient.
Please be advised you are prohibited from sharing this information from the system and to disclose its contents to anyone else.

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