DPRM FORM RSD-03-A (Revised 2014)

Republic of the Philippines

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

AFFIDAVIT OF UNDERTAKING FOR PROMOTION

I, ______________________________________________, of legal age, residing at

(Rank) (First Name) (Middle Name) (Last Name)
_______________________________ __a member of Philippine National Police, presently
assigned at ____________________________________designated to the position of
_____________________ effective on _________________ after having duly sworn to in
accordance with law, do hereby depose and state that:
1. I am candidate for promotion to the rank of Police Corporal;
2. I posses all the mandatory qualifications (i.e. eligibility, training, time-in-grade and
education) and other collateral requirements for promotion;
3. All the documents I have submitted to support my promotion are accurate, genuine
and authentic and that all the originals are now with me ready for verification and/or
comparison anytime;
4. I passed the E-Learning Program as required under PNP P.A.T.R.O.L. Plan 2030;
5. I will not seek reassignment and/or detail to other offices/units within six months
from the issuance of my promotion order;
6. I am fully aware of my liability and responsibility in the foregoing declaration under
the law and regulation of the PNP, NAPOLCOM and CSC;
7. I agree to the AUTOMATIC NULLIFICATION of my promotion and I hold myself
administratively and criminally liable for “DISHONESTY” and “PERJURY” for
falsehood, misrepresentation or omission and for any fraudulent, falsification or
tampered documents that I submitted;
8. I have read and checked all entries appearing in my attached Personal Accounting
and Information System (PAIS) Generated PDS and that I certify that all entries
thereof are true and correct;
9. I further certify that the foregoing declarations are true and accurate to the best of
my knowledge and ability and I hereby authorized the PNP to obtain and secure
pertinent records that will show my qualification standards, collateral requirements
and case records and other record related to this declaration if any, in any agency
or office;
10. Since the pendency of my appeal/grievance/complaints for promotion renders this
application moot and academic, I hereby voluntarily withdraws said
appeal/grievance/ complaints for purposes of promotion;
11. I have criminal and/or administrative case; YES NO
I was suspended from my present rank; YES NO
I was demoted from present rank; and YES NO

An appeal is pending, in lieu thereof, before any judicial

and administrative or quasi judicial bodies. YES NO

12. I have attached the certification from the court and quasi-judicial body on the status
of the case, if applicable. YES N/A 
The following are the details of my pending criminal and/or admin case (s) and records
of suspension/demotion from my present rank:
CASE
NATURE OF CASE DATE FILED/
STATUS PENALTY/
COMPLAINT/ COMPLAINANT TITLE/NUMBER PERIOD PENALTY
(Pending or DECISION
OFFENSE AND VENUE IMPOSED
Resolve)
None None None None None None

NOTE: Use extra sheet if necessary

 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 his/her act and dead.

Affiant
SUBSCRIBED AND SWORN TO before me this day of __ , at
_____________, Philippines.

(Notary Public)

Doc. No.______________
Page No.______________
Book No.______________
Series of _______