ANNEX “H”

DPRM FOR RSD-03-A (Revised 2017)

Republic of the Philippines

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

AFFIDAVIT OF UNDERTAKING FOR PROMOTION

I,_______________________________________, of legal age, residing at

_______________________________________________ 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 a candidate for promotion to the rank of __________________;

2. I possess 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 have passed the E-learning Program as required under the 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 have submitted;
8. I have read and checked all entries appearing in my attached Personnel Accounting Information
System (PAIS) Generated PDS and that I certify that all entries 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 standard, 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 purpose 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 my 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[ ] NO[ ]

The following are the details of my pending criminal and/or admin case(s) and records of
suspension/demotion from my present rank:

DATE
CASE TITLE / CASE STATUS
NATURE OF COMPLAINT/ PENALTY/ FILED/PERIOD
COMPLAINANT NUMBER AND (Pending or
OFFENSE DECISION PENALTY
VENUE Resolved)
IMPOSED

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 her/her act and deed.

Affiant

SUBSCRIBED AND SWORN to before me this ________ day of __________, 2018 at _____________________
Philippines.

(Notary Publlic)

Doc. No. ______________

Page No. ______________
Doc. No. ______________
Series of 2018