Professional Documents
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DATE
CASE STATUS
NATURE OF COMPLAINT/ CASE TITLE / PENALTY/ FILED/PERIOD
COMPLAINANT (Pending or
OFFENSE NUMBER AND VENUE DECISION PENALTY
Resolved)
IMPOSED
That I attest to the truthfulness of the foregoing declaration and submit myself to the legal consequences thereof, if ever
the statements above are wanting in truth and in substance. Affiant declares that he/she has read and understood the
affidavit of undertaking and that the same is her/her act and deed.
Affiant
SUBSCRIBED AND SWORN to before me this ________ day of __________, 2019 at _____________________
Philippines.
(Notary Publlic)