DPRM FORM 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

(Rank) (First Name) (Middle Name) (Last Name)

, a member of Philippine National Police, presently assigned at

designated to the position of

(Office/Unit)

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 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 have submitted;

8. I have read and checked all entries appearing in my attached Personnel 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 authorize 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 withdraw 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 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 N/A
Continuation at the back page …
 The following are the details of my pending criminal and/or admin case(s) and records of
suspension/demotion from my present rank:
DATE FILED/
NATURE OF CASE CASE STATUS
PENALTY/ PERIOD
COMPLAINT/ COMPLAINANT TITLE/NUMBER (Pending or
DECISION PENALTY
OFFENSE AND 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 his/her
act and deed.

Affiant

SUBSCRIBED AND SWORN TO before me this _______ day of ____________________, 20____,

at
, Philippines.

(Notary Public)

Doc No.
Page No.
Book No.
Series of 2017