REPUBLIC OF THE PHILIPPINES> PROVINCE OF _________________ >s.s AFFIDAVIT OF UNDERTAKING I, ____________________, of legal age, Filipino, single/married and a resident of ________________________, after having been duly sworn to in accordance with law, depose and say that: 1. I am a ________________________ of __________________________ a company duly organized and existing under and by virtue of the laws of the Republic of the Philippines with office address at __________________ 2. I am the Project in-charge of ________________ located at Zamboanga City. 3. One of our vehicle particularly _________________, was driven by our driver ________________, a resident of ______________________________ and is a holder of an LTO Professional Driver’s License No. ______________________, was involved in an accident on ______date of accident_______ at _____place of accident_________. Please refer to the police blotter attached. 4. The above described vehicle was put into custody by the agents of the PNP ____what station; place_____ after the incident. 5. The above described vehicle is being used for the completion of the aforementioned hence I am fervently requesting the good police officers to release said vehicle in my favor. 6. That I undertake to bring the said vehicle to court if ordered by competent authority and promises not to dispose/deliver/assign/waive/mortgage the same at any time during the investigation and pendency of the complaint.
7. That I will ensure the integrity and preserve the identity and present state of the vehicle. IN WITNESS WHEREOF, I have hereunto affix my signature this _______ day of _______ at _____________________________.
SUBSCRIBED AND SWORN to before me this _____ day of 2021, at . The affiant having exhibited to me his / her competent proof of identity _____________________________ issued on ______________ at _____________________. WITNESS MY HAND AND SEAL.
Doc. No. _______; Page No. _______; Book No. _______; Series of 2021
