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Republic of the Philippines )

Tacloban City ) s.c.

AFFIDAVIT OF UNDERTAKING

Tacloban City, after having been duly sworn to in accordance with law hereby
depose and say THAT:

1. I am an applicant as Public Attorney at the Public Attorney’ Office


Regional Office Eight (8);

2. I am required to undergo the Neuro-Psychiatric Examination at the


National Center for Mental Health (NCMH), Mandaluyong City as a
prerequisite for my employment;

3. I undertake to comply with the Neuro-Psychiatric Examination on


December 4, 2017 in NCMH notwithstanding the fact that I will starting
to work with the PAO Regional Office VII prior thereto;

4. I undertake to take the said exam on December 4, 2017 in NCMH,


notwithstanding being appointed by the PAO Regional Office VIII prior
to thereto;

5. I agree that should I fail the said exam, my appointment shall also be
revoked accordingly;

IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of


August 2017 at Tacloban City Philippines.

Xxxxxx
Affiant

SUBSCRIBED AND SWORN to before me this day of 2017 at Tacloban


City by affiant, personally known to the undersigned.

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

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