Deed of Undertaking

KNOW ALL MEN BY THESE PRESENT:

I, Christopher Ian M. Pantonial and Fretziel Grace G. Pantonial , both of

(Scholar) (Co-Maker)
legal age, Filipino citizens and residents of Crossing Tiniwisan, Brgy. Baan KM. 3, Butuan City
(Scholar’s Address)
and Crossing Tiniwisan, Brgy. Baan KM. 3, Butuan City , respectively, Philippines do hereby depose and
say: (Co-Maker’s Address)
That I, Christopher Ian M. Pantonial , is a scholar-graduate under the DOST-SEI
(Scholar)
Scholarship Program.
That I, Christopher Ian M. Pantonial , hereby intend to leave the country for a
(Scholar)
Team Building in Tokyo, Japan on
(Purpose) (Destination)
April 24-30, 2024 .
(Duration)
That I, Christopher Ian M. Pantonial , hereby commit to return to the Philippines
(Scholar)
on 30th day of April, 2024 . In case of my failure to do so, I hereby undertake
(Date of Return)
to pay the financial support provided to me during my scholarship under the DOST-SEI Scholarship Program.
That I, Fretziel Grace G. Pantonial , Spouse promise to pay the
(Co-Maker) (Relationship to Scholar)
financial support given to Christopher Ian M. Pantonial under the DOST–SEI Scholarship Program
(Scholar)
should Christopher Ian M. Pantonial fail to return to the Philippines to fulfill his/her scholarship
(Scholar)
financial or service obligation. Moreover, I am declaring that I am not an accompanying party of this travel.

This Deed of Undertaking shall serve as our Promissory Note in favor of the DOST-SEI Scholarship Program to pay
whatever financial support given to me, Christopher Ian M. Pantonial ,
(Scholar)
in case of my failure to return to the Philippines on 30th day of April, 2024 .
(Date of Return)

IN WITNESS WHEREOF, we have here to set our hands this 17th day of January 2024 in
Butuan City, Philippines .

Christopher Ian M. Pantonial Fretziel Grace G. Pantonial

Scholar Co-Maker
CTC # 07491449 CTC # 07491448
Date of Issue 1/04/2024 Date of Issue 1/04/2024

SIGNED IN THE PRESENCE OF:

Witness (Printed Name and Signature) Witness (Printed Name and Signature)

BEFORE ME THIS in personally appeared

and presented themselves to be the same
persons who executed this instrument and acknowledge the same to be their true and voluntary act and deed.

Witness my hand and seal

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