Republic of the Philippines )
City of Baguio ) S.S.
AFFIDAVIT OF UNDERTAKING
I, ___________ of legal age, single and a resident of #_______ after having been
duly sworn on oath in accordance with law, do hereby depose and say:
1) That I had been involved in a vehicular accident around 9:00 pm of September
7, 2019 along ____________ being the driver of a Toyota Rush with _________ which was
bumped by a _____________ driven by __________;
2) That my Non-Professional Driver’s License bearing the number ___________
had been confiscated by the Traffic Accident Investigators who assessed the incident;
3) That because of failure of any amicable settlement, I had caused the filing of a
criminal case against ______________ and the same is pending before a judicial body
specifically in Branch 1, Municipal Trial Court in Cities situated in the City of Baguio;
4) That no charge nor counter-charge has been filed against my person in any court
or forum to the best of my knowledge;
5) That I undertake to comply with any lawful order of this office with utmost
good faith.
IN WITNESS WHEREOF, I have hereunto signed my name below this 3rd day of
December 2019 at Baguio City, Philippines.
______________
Affiant
SUBSCRIBED AND SWORN TO before me this 3rd day of December 2019 at
Baguio City, Philippines affiant exhibiting to me his competent evidence of identity.
Doc. No. 134;
Page No. 27;
Book No. I;
Series of 2019.