Republic of the Philippines )
City of ________________) S.S.
AFFIDAVIT OF UNDERTAKING
(FOR 10-YEAR VALIDITY PERIOD OF LTOPF)
I, ___________________________, of legal age, single/married, Filipino, and
a resident of _____________________________________, after having been sworn
in accordance with law, do hereby depose and say, THAT:
1. I am an applicant for License to Own and Possess Firearms (LTOPF) and
opted to avail ten years validity period of my LTOPF;
2. Having opted to have a 10-year LTOPF validity period, I shall undertake to
submit Neuro-Psychiatric Clearance and Drug Test Result when required
by the CPNP or his authorized representative as part of monitoring my
fitness to own and possess firearm;
3. In case there is failure or refusal on my part to submit my NeuroPsychiatric Clearance and Drug Test Result, when required, my LTOPF
and that of the firearm registration shall be suspended immediately without
prior notice and the firearm/s shall be confiscated;
4. I am executing this affidavit to attest to the truthfulness of the foregoing
and for all legal intents and purposes.
IN WITNESS WHEREOF, I hereunto affix my signature this ______ day of
_________ 2022 at ________________________.
___________________
AFFIANT
SUBSCRIBED AND SWORN TO before me this ______ day of
_______________, 2022 at ________________________________________,
affiant having exhibited to me his/her ID Card Number _________________ issued
on
_________________
and
with
Expiration
Date
of
____________________________.
Doc No.: __________
Page No.: __________
Book No.: __________
Series of 20__________