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Affidavit of Undertaking

To promise an office, under oath, that you will do something by a set date, such as hand in a missing document later. Fill it in, print it, and sign it in front of the notary.

You

In years, for example 34.

The Undertaking

For example, the Registrar of Batangas State University, or the HR Department of ABC Corporation.

For example, my enrollment for the first semester of school year 2026-2027, or my employment as a staff nurse.

For example: submit my original Form 138 (report card), or submit my NBI Clearance.

For example, 30 November 2026.

For example, my previous school has not yet released my records. Leave it empty to skip.

For example, my enrollment may be cancelled. Leave it empty to skip.

Where

ID

For example, PhilSys ID No. 1234-5678-9012-3456.

What you type is kept on this device only, so you can come back and finish later. Nothing is sent anywhere. Press Clear to erase it, especially on a shared phone or computer.

REPUBLIC OF THE PHILIPPINES )
city or municipality ) S.S.

AFFIDAVIT OF UNDERTAKING

I, full name, age years old, Filipino, civil status, and residing at home address, after having been duly sworn in accordance with law, hereby depose and state that:

  1. I have requested office or person to allow what is being allowed;
  2. I hereby undertake to what you will do on or before date;
  3. I understand that office or person has relied on this undertaking;
  4. I am executing this affidavit to attest to the truth of the foregoing and to bind myself to this undertaking, and for whatever other lawful purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______________ 20___ at city or municipality, Philippines.

full name
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ______________ 20___ at city or municipality, Philippines, affiant exhibiting to me ID type and number as competent evidence of identity.

Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 20___.

NOTARY PUBLIC

Before You Print

  • Not legal advice. This is a general form. For your own situation, consult a lawyer, especially if your case is unusual or a lot of money is involved.
  • You will swear before the notary that it is true, then sign (this is called a jurat).
  • Do not sign it yet. You sign in front of the notary, with a valid government ID.
  • Many schools, employers and offices have their own undertaking form. Ask first whether they want theirs or will accept this one.
  • Set a date you can meet. If you do not keep your promise, the office can act on it, for example by cancelling what it allowed you to do.

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