Republic of the Philippines….

)
City of Tagum………………………)S.S.
Province of Davao del Norte)
X------------------x

AFFIDAVIT OF UNDERTAKING
I, _____________, of legal age, Filipino, a resident of
_____________________ after being duly sworn to in accordance
with the law, hereby depose and say THAT:
1. I am an employee of TL MABUHAY DRIVING SCHOOL
ACADEMY INC., under the _____________ since
__________;

2. I am in possession/custody of a motorcycle vehicle, particularly

described as follows:

Plate No. : _______________

Make Year Model : _______________
Chassis No. : _______________
Engine No. : _______________

3. If the said vehicle is involved in an incident, I am responsible for

the damages;

4. I am obliged to pay the Company for any damages that may

occur on the said vehicle; and
5. I am executing this undertaking to attest to the truth and
veracity of the foregoing statements and to apprise the proper
authorities concerned on the matter for their information,
guidance, and for whatever legal purpose/s this may serve best.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________, at Tagum City, Davao del Norte, Philippines.

__________________
Affiant
Valid ID No. _________

Signed in the presence of ___________ and ______________.

SUBSCRIBED AND SWORN to before me _____________ in

_______________, Philippines, and I hereby certify that I have
personally examined the affiant and I am satisfied that he has
voluntarily executed and understood the contents of this Affidavit of
Undertaking.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.