Republic of the Philippines

National Capital Region

Caloocan City

SWORN STATEMENT

I, PO3 Sharon Salazar Sarmiento of legal age, residing at lot 32 block 4 Molave Street, Cristina Homes, Camarin, Caloocan City, a
bonafide member of the Philippine National Police, presently assigned at Communication Electronics Service after having been duly
sworn in accordance with law, do hereby depose and state.

That I am applying for Public Safety Junior Leadership Course (PSJLC) according:

That I have no pending criminal or administrative cases;

That in relation to Section 91, Article II of RA 9165or Dangerous Drugs Act of 2002. I am not a witness in any drug related case.

That in relation to Section 4, RA 9165. I am not also a witness in any criminal case involving unlawful or illegal possession, manufacture,
dealing in acquisition or disposition of firearms, ammunitions or explosives.

That all documents I have subscribed to support my request for schooling are genuine and authentic and that all are original.

That I agree to the automatic nullification of my schooling order and hold myself liable for perjury, falsehood, misrepresentation or
omission if these exist appending case against me and or falsification or act of dishonesty for any fraudulent, fake or tampered documents
that I submitted

That I will immediately inform the Directorate for Personnel and Records Management if I found out to have any pending case and;

That I attest to the truthfulness of this undertaking and I submit to the legal and administrative consequences thereof. If ever the statements
above are working in truth and in substance.

AFFIANT FURTHER SAYETH NONE.

PO3 Sharon Salazar Sarmiento

AFFIANT’S SIGNATURE

SUBSCRIBED AND SWORN TO before me this 17th day of March 2014 at Caloocan City, Philippines.

Doc. No. 23
Page No. 09
Book No. 05
Series of 2014