Republic of the Philippines

_____________________) S.S.

AFFIDAVIT OF UNDERTAKING
I, ___NAME__________________, of legal age, Filipino, married/single and a resident of
________ADDRESS__________________. After having been sworn to in accordance with law,
hereby depose and state:

THAT I am a bonafide member of the Bureau of Fire Protection and previously/presently

assigned at ___________________ as ________________;

THAT for the purpose of ________________________________, I have to clear myself

from all property/ies accountability in the BFP-National Capital Region;

THAT I have turned-over to the BFP-NCR Supply Accountable and Property Division
(SAPD) any/all the property/ies of the BFP-NCR which was issued to me for which I am
accountable with;

THAT even though I was cleared of my accountability and was issued a Property
Clearance by the BFP-NCR and found put later that I still have other property/ies which I have
not yet turn-over, I hereby undertake to bind myself accountable to return the required and
pay/ or pay the equivalent price even after my retirement/transfer;

THAT I am executing this AFFIDAVIT OF UNDERTAKING to attest to the truth of the

contents thereof and further attest that by the virtue of this affidavit, I hereby undertake
unconditionally to return possession of the BFP-NCR property/ies to the BFP-SAPD as required
and pay/or the equivalent price thereof;

IN WITNESS WHEREOF, I have hereunto signed this affidavit this

_____________________2012 at __________________.

__________NAME/SIGNATURE___________
AFFIANT

SUBSCRIBED AND SWORN to before me this _____________2012 at

________________. Affiant who satisfactorily proven to me his identity through Bureau of Fire
Protection Card ID bearing ID No. _________________________.