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REPUBLIC OF THE PHILIPPINES)

CITY OF __________________) S.S.

AFFIDAVIT OF UNDERTAKING

I, Jennelyn D. Jacinto, Filipino, single, a registered and licensed


Professional Teacher, with address at Zone 5 Mabini, Gerona, Tarlac after
having been duly sworn in accordance with law hereby depose and state that:

1. I applied for the renewal of my Professional Identification Card


(PIC) with the Professional Regulation Commission;

2. As requirement for the renewal of my PIC to date, I have to


submit proof of 15 CPD Credit Units in compliance with Republic
Act (RA) No. 10912 or the Continuing Professional Development
Act of 2016, and its Implementing Rules and Regulations (IRR) on
the next renewal of my PIC;

3. Due to the busy schedule of being a working teacher student I


cannot afford to attend any seminar in the covered years , I failed
to comply with the required CPD credit units.

4. I undertake to comply with the required __ CPD credit units


during the validity of my PIC in additional to the required __ CPD
Credit Units for the subsequent renewal period;

5. I will submit proof of my compliance with __ total number of CPD


Credit Units during the next renewal of my PIC:

6. I understand that in the event I fail to submit compliance with the


required total number of CPD Credit Units, I cannot renew my PIC
on the next succeeding renewal periods;

7. I am executing this affidavit to attest to the truth and veracity of


the foregoing statements for whatever legal purpose it may
serve;

8. AFFIANTS FURTHER SAYETH NAUGHT.

Jennelyn D. Jacinto
Affiant

SUBSCRIBED AND SWORN to before me this __ day of ______2024, at


___________, Philippines, affiant exhibiting to me her PRC License No. 0141426
issued on November 4, 2011 at Baguio City, Philippines.
Doc. No._______
Page No._______
Book No._______
Series of 2024

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