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    Affidavit-of-Undertaking DA

    Uploaded by

    Huey Calabines
    1) John Laurence A. Pacsial was driving a vehicle that was involved in an accident on December 6, 2020 where he sideswiped a pedestrian named Jacob Bernard Valo while trying to avoid hitting a bicycle. 2) His vehicle was impounded by authorities following the accident. 3) He is submitting this affidavit to request the release of his impounded vehicle and attests to the truth of the details provided regarding the accident.

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    Affidavit-of-Undertaking DA

    Uploaded by

    Huey Calabines
    148 views1 page
    1) John Laurence A. Pacsial was driving a vehicle that was involved in an accident on December 6, 2020 where he sideswiped a pedestrian named Jacob Bernard Valo while trying to avoid hitting a bicycle. 2) His vehicle was impounded by authorities following the accident. 3) He is submitting this affidavit to request the release of his impounded vehicle and attests to the truth of the details provided regarding the accident.

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    1) John Laurence A. Pacsial was driving a vehicle that was involved in an accident on December 6, 2020 where he sideswiped a pedestrian named Jacob Bernard Valo while trying to avoid hitting a bicycle. 2) His vehicle was impounded by authorities following the accident. 3) He is submitting this affidavit to request the release of his impounded vehicle and attests to the truth of the details provided regarding the accident.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    148 views1 page

    Affidavit-of-Undertaking DA

    Uploaded by

    Huey Calabines
    1) John Laurence A. Pacsial was driving a vehicle that was involved in an accident on December 6, 2020 where he sideswiped a pedestrian named Jacob Bernard Valo while trying to avoid hitting a bicycle. 2) His vehicle was impounded by authorities following the accident. 3) He is submitting this affidavit to request the release of his impounded vehicle and attests to the truth of the details provided regarding the accident.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES )

    ___________ ) S.S.

    AFFIDAVIT OF UNDERTAKING

    I, John Laurence A. Pacsial, of legal age, single, Filipino with postal


    address at Block 15 Lot 2 Lotus Lakeside Village Molino 3 Bacoor City, Cavite
    after having been sworn in accordance with the law hereby depose and state
    that:

    1. I am a driver of a motor vehicle with plate no. NFW 7535 which


    figured in an accident;

    2. Sometime last December 6, 2020 approximately Four Thirty in the


    afternoon, I was a party to an accident whereby I accidently
    sideswiped a person in the name of Jacob Bernard Valo while I was
    trying to avoid a collision between a bicycle;

    3. Because of such incident, the vehicle that I was driving was


    impounded by the authorities;

    4. I hereby undertake to produce said vehicle upon request of the


    authorities if such will be needed for further proceedings or
    investigation;

    5. This affidavit is being executed to support my request for the release


    of the impounded vehicle;

    6. I am executing this undertaking to attest to the truth of the


    foregoing.

    IN WITNESS WHEREFOR, I have hereunto set my hands this ______ day of


    _______________, 2021 in Bacoor City, Cavite.

    ________________

    SUBSCRIBED AND SWORN TO before me this _____ day of ________, 2021


    in the City of Bacoor, Affiant Exhibiting to me his Driver’s License issued on
    January 10, 2019 in Pasay, Philippines.

    Doc No.
    Page No. Notary Public
    Book No.
    Series of 2012

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