Sworn Affidavit Of Undertaking 4x5m1f

SWORN AFFIDAVIT OF UNDERTAKING I, PO3 Sharon Salazar Samenian, of legal age, residing at lot 32 block 4 Molave Street, Cristina Homes, Camarin, Caloocan City, a bonafide member of the Philippine National Police, presently assigned at Communications Electronics Service after having been duly sworn in accordance with law, do hereby depose and state: That, I am applying for Public Safety Junior Leadership Course (PSJLC) schooling; That, I have no pending criminal or istrative cases; That, in relation to Section 91, Article II of RA 9165 or Dangerous Drugs Act of 2002, I am not a witness in any drug related case; That, in relation to Section 4, RA 9165, I am not also a witness in any criminal case involving unlawful or illegal possession, manufacture, dealing in, acquisition or disposition of firearms, ammunition or explosives; That, all documents I have submitted to my requests for schooling are genuine and authentic and that all are original; That, I agree to the automatic nullification of my schooling order and hold myself liable for perjury, falsehood, misrepresentation or omission, if there exists appending case against me and/or falsification or act of dishonesty for any fraudulent, fake or tampered documents that I submitted; That, I will immediately inform the Directorate for Personnel and records Management if I found out to have any pending case; and That, I attest to the truthfulness of this undertaking and I submit to the legal and istrative consequences thereof, if ever the statements above are wanting in truth and in substance. AFFIANT FURTHER SAYETHNONE:

_______________________________ PO3 Sahron Salazar Samenian (Affiant’s Signature over Printed Name)

SUBSCRIBED AND SWORN TO before me this_____ day of___________, 2014 at ___________________________, Philippines. Doc No. Page No. Book No. Series of 2014

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