Republic of the Philippines )

Province of Davao del Sur )

AFFIDAVIT OF UNDERTAKING
I, __________________________________, of legal age, single/married, and a
resident of _____________________________________, after having been sworn to in
accordance with the law hereby depose and say:
That I am a bona fide member of Philippine National Police and presently
assigned with _________________________________;
That I have faithfully submitted my SALN as required under Article XI Section 17
of the 1987 Constitution and Section 8 of Republic Act No. 6713, the Code of Conduct
and Ethical Standards for Public Official and Employees;
That the submitted SALN for the CY 2011-2015 which are hereto attached were
true copies of SALN previously submitted;
That I am executing this affidavit freely and voluntarily to attest to the truth of the
foregoing and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I hereunto affix my signature this _____ day of
_____________ 2016 in Digos City, Davao del Sur.

__________________________
Affiant
PNP ID No. ________________
PNP Badge No. _____________

Subscribed and duly sworn to before me this _________________, 2016 at

Digos City, Davao del Sur. Affiant exhibited to me his/her competent evidence of identity.
I hereby certify that I have personally examined the affiant and I am convinced that
he/she has understood the contents hereof.

Doc. No. ________

Page No. _______
Book No. _______
Series of 2016