REPUBLIC OF THE PHILIPPINES )

PROVINCE OF ____________________ ) S.S.

AFFIDAVIT of UNDERTAKING

I, xxxx, of legal age, Filipino, married and a resident of Brgy. Sto. Domingo,
Tarlac City, Philippines, after having been duly sworn in accordance with law, do
hereby depose and say:

1. That, I am a xxx by profession;

2. That, I am conducting my profession under the business name of xxxx with

TIN xxxx;

3. That, I am executing this Affidavit to attest to the truth of the foregoing and for
any other legal purposes it may serve.

IN WITNESS WHEREOF, I have set my hand this 14 th day of August, 2018

at xxx, Philippines.

xxxx
Affiant
Conforme:

xxx

SUBSCRIBED AND SWORN before me this 14th day of August 2018 at xxx,
Philippines, the affiant exhibiting to me her driver’s license with number xxx issued
by the Land Transportation Office valid until 17 February 2023.

NOTARY PUBLIC

Doc. No. _____ ;

Page No. _____ ;
Book No. _____ ;
Series of 2018.