Republic of the Philippines

Department of Interior and Local Government

National Police Commission
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City

AFFIDAVIT OF UNDERTAKING

I, __________________________________________________________________, of legal age, residing at

(Rank) (First Name) (Middle Name) (Last Name)

______________________________________________________, a bonafide member of Philippine National

Police, presently assigned at ___________________________designated to the position as ________________
effective on
_______________________ after having duly sworn to in accordance with law, do hereby depose and state:
That, I am an applicant for promotion to the rank of ____________________ in the Philippine National Police;
That, my highest educational attainment in a recognized institution of higher learning is
____________________________________________;
(Baccalaureate/Masters/Doctorate Degree)
That, my highest promotional eligibility is _____________________________________________;
(NAPOLCOM Exam/CSC Prof/PO/PD 907/RA1080)

That, my highest mandatory training is __________________________________________________ which I

(Equivalence Accredited by DHRDD)

completed on ____________________________;
That, all documents I have submitted to support my promotion for ________________________ are genuine
and authentic and that all the originals are now with me for verification and/or comparison;
That I have found to be physically and mentally fit following examination/ test conducted by PNP Health
Service (PNPHS) and the PNP Crime Laboratory Group (PNPCLG) on dates as shown:

Test/ Examination Conducted by Date

Neuro-Psychiatric/ WBPA _______________ ____________
Drug Test _______________ ____________
That, I am willing to be assigned anywhere in the Philippines after my promotion and I will be occupying the
Table of Organization (T.O) position in reference to TPDL Provisional List;

That, I have no pending criminal nor administrative case or any other claim file against me as of this date in
any court, tribunal or quasi-judicial agency and there is no complaint proffered against me before the Ombudsman or
the PLEB;

That, if I should thereafter learn that a criminal or administrative case has been filed or pending, or that a
complaint was proffered against me before the Ombudsman or the PLEB, I shall report the fact within five(5) days
from knowledge to the Promotion Board through the Secretariat the complete statement of the present status of the
case;

That, I agree to the automatic nullification of promotion and I hold myself liable for perjury, falsehood,
misrepresentation or omission or act of dishonesty:

a. If it would be discovered later on that a criminal or administrative case was filed or is pending or, that
a complaint was proffered against me before the Ombudsman or the PLEB and there was a failure on my part to
immediately inform the Board of the same;
b. Or for any fraudulent, fake or tampered documents that I have submitted; and
c. If I will violate any provisions of this undertaking.

That, I attest to the truthfulness of this undertaking and submit to the legal and administrative consequences
thereof if ever the statements above are wanting in truth and in substance.

___________________________________
Affiant
Community Tax Cert No. _____________________
Dated:_____________ Place __________________

SUBSCRIBED AND SWORN TO before me this _____ day of _______________________, ___________, at

_____________________________, Philippines.