DO NOT PRINT THIS PAGE INSTRUCTIONS (Affidavit of Undertaking) 1. There are two (2) affidavits in this document, namely: a. Affidavit of Undertaking (for Patrolman/woman); and b. Affidavit of Undertaking (for Lateral Entry); 2. Fill only the Affidavit that correspond or required for your application. The applicant should not copy and paste its contents as it is a standard format. 3. No one is allowed to alter, change, remove or delete any portion of these affidavits. The altered affidavits will not affect any violation of the undertaking under the original affidavits shown in this document. 4. The applicant must personally fill out the form by “PDFfiller” (an application available in both iOS and android), by “Adobe Acrobat Reader DC” using its “fill and sign” function, or, directly, by writing by hand above the line provided for the required data. 5. Both “PDFfiller” and “Adobe Acrobat Reader DC” are free of charge and this office enjoins or forbids you to make any in-app purchases. 6. The data to be filled are the following: a. Under “1”, the city where you subscribed and sworn the affidavits (inquire if the notary public can stamp the city on this portion); b. Under “2”, your full name, which must be in the format “First Name Middle Name Surname”. (e.g. Juan Santos Cruz / Maria Sanchez dela Cruz) c. Under “3”, your address, which must include the following details: (No./Lot/Block/Unit, Street Name, Barangay, City/Municipality, Province, Postal Code). d. Under “4” your signature above your Full Name. It must be done in own handwriting and NOT typewritten. Electronic signature will not be honored. e. Under “5”, leave it blank and let the notary public fill this area upon notarization. (This is subject to the Notarial Rules and Practices, which will be enforced by your respective notary public). 7. After filling the PDF through “PDFfiller” and “Adobe Acrobat Reader DC” or through own handwriting, print the same on a Long Bond Paper (8.5’x13’). 8. After printing, the applicant must cause the notarization and sign the affidavits in his or her own hand. Authorized person is not allowed to sign on behalf of the applicant. 9. Make sure to have the seal of the notary be marked at the appropriate place on your affidavit before uploading to PNP Online Recruitment. 10. Submit the original copy of the Affidavits (with notarial seal) together with other documentary requirements. WARNING: This is a sworn affidavit. Any falsehood committed is a violation of Revised Penal Code, which will cause PERMANENT derogatory record at PNPRSS database. Good Luck on your application. God Bless. 1 2 3 4 5 REPUBLIC OF THE PHILIPPINES ) ) s.s. AFFIDAVIT OF UNDERTAKING (For Patrolman/Patrolwoman) I, _______________________________ of legal age, Filipino, and presently residing at ___________________________________________________________, after having duly sworn to in accordance with law, do hereby depose and state that: 1. I hereby confirmed the veracity of my date of birth and my civil status; 2. I hereby undertake to serve the office/unit where I am appointed for a period of 10 years; 3. I am willing to be assigned anywhere in the Philippine due to exigency of the service; 4. I have not been dishonorably discharged, placed on AWOL status, dropped from the rolls, or dismissed for a cause from the Armed Forces of the Philippines, Philippine National Police, Philippine Coast Guard, other government institution, instrumentality, agency, or government owned and controlled corporation; 5. I have not been convicted by final judgment of a crime involving moral turpitude; 6. I have no pending criminal/administrative case in any court, tribunal, or quasijudicial body; 7. I have no previous nor present derogatory record or medical deficiency which either unintentional or intentional through any fraudulent scheme, machination or any other means, were not discovered during the recruitment process; 8. I shall not contract any loan, insurance plan, pension plan, mutual fund, or other investment contract from any lending, insurance, investment, pension or any financial institution except for a single insurance contract with the PSMBFI; 9. I fully understand that my pregnancy (for Patrolwomen) during the training shall cause the termination of my employment as member of the PNP; and 10. I hold myself criminally and administratively liable for any false or misrepresentation of facts stated in my Personal Data Sheet or other documents I submitted to the PNP including this Undertaking. The same will also cause the automatic nullification of my appointment as a Patrolman/Patrolwoman. That I further certify that the foregoing declarations are true and correct to the best of my knowledge and belief. ______________________ Affiant SUBSCRIBE AND SWORN to before me this ____ day of _____________ at ________________________ Philippines. Doc No. Page No. Book No. Series No. _________ _________ _________ _________ ______________________ Administering Officer REPUBLIC OF THE PHILIPPINES ) ) s.s. AFFIDAVIT OF UNDERTAKING (For Lateral Entry) I, _______________________________ of legal age, Filipino, and presently residing at ___________________________________________________________, after having duly sworn to in accordance with law, do hereby depose and state that: 1. I hereby confirmed the veracity of my date of birth and my civil status; 2. I hereby undertake to serve the office/unit where I am appointed until the date of my retirement; 3. I am willing to be assigned anywhere in the Philippine due to exigency of the service; 4. I have not been dishonorably discharged, placed on AWOL status, dropped from the rolls, or dismissed for a cause from the Armed Forces of the Philippines, Philippine National Police, Philippine Coast Guard, other government institution, instrumentality, agency, or government owned and controlled corporation; 5. I have not been convicted by final judgment of a crime involving moral turpitude; 6. I have no pending criminal/administrative case in any court, tribunal, or quasijudicial body; 7. I have no previous nor present derogatory record or medical deficiency which either unintentional or intentional through any fraudulent scheme, machination or any other means, were not discovered during the recruitment process; 8. I shall not contract any loan, insurance plan, pension plan, mutual fund, or other investment contract from any lending, insurance, investment, pension or any financial institution except for a single insurance contract with the PSMBFI; 9. I fully understand that my pregnancy (for Patrolwomen) during the training shall cause the termination of my employment as member of the PNP; and 10. I hold myself criminally and administratively liable for any false or misrepresentation of facts stated in my Personal Data Sheet or other documents I submitted to the PNP including this Undertaking. The same will also cause the automatic nullification of my appointment as a Patrolman/Patrolwoman. That I further certify that the foregoing declarations are true and correct to the best of my knowledge and belief. ______________________ Affiant SUBSCRIBE AND SWORN to before me this ____ day of _____________ at ________________________ Philippines. Doc No. Page No. Book No. Series No. _________ _________ _________ _________ ______________________ Administering Officer