DPRM RSD FORM-01-B (REVISED 2015)

Republic of the Philippines

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

AFFIDAVIT OF UNDERTAKING
[TECHNICAL OFFICER (PINSP/PSINSP)]

I, , of legal age,
(First Name) (Middle Name) (Last Name&/Qualifier)

Filipino and presently residing at

after having duly sworn to in accordance with law, do hereby depose and state:

1. This contractual undertaking binds the applicant to strictly comply and abide
by the PNP rules and regulations and corresponding obligations stated
therein;

2. That I am a Lateral Entry applicant for Technical Officer this CY _____ Lateral
Entry Program;

3. That I meet all the Qualification Standards of the position in terms of

Education, Eligibility, Experience and Training;

4. That I have neither criminal nor administrative cases filed against me;

5. That I will not resign from the service within three (3) years after having taken
my oath of office as ______________________________________ nor seek
(rank)
detail with allied services outside of technical service unit where I was
originally commissioned and appointed;

6. That should I resign within the three (3) years period, I shall be held liable for
civil indemnity and pay all the cost of trainings and other allowances and
expenses incurred by the Government; and

7. That I agree to the automatic nullification of orders and appointment to the

rank of __________________________ and hold myself criminally liable for
(rank)
perjury, falsehood, misrepresentation or omission of facts, if there exists a
pending case against me and/or administratively for acts of dishonesty for any
fraudulent, fake or tampered documents that I have submitted.

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.

FURTHER AFFIANT SAYETH NONE:

(Affiant’s Signature Over Printed Name)

SUBSCRIBED AND SWORN to before me this day of , ____

at , Philippines, affiant exhibiting his/her CTC No
issued at on .

NOTARY PUBLIC