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Affidavit of Undertaking

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AFFIDAVIT OF UNDERTAKING ANNEX 3

I _____________________________________________________ of legal age, a resident of


Name of Parent/ Guardian

__________________________________________________________________________________________________
Address

and the parent/guardian of _____________________________________________________________________


Name of Learner

hereby signs this document freely and with full understanding of its contents.

The present circumstances are :

1. I choose to enroll my child at _________________________________________________


Name of School
2. I certify that my child was previously enrolled at __________________________________
Name of Previous School

3. Due to the ______________________________, I cannot submit the transfer credentials of


my child to this school.
4. I understand that my child shall be temporarily enrolled because I have not submitted the
required documents.

With these circumstances, I undertake to :

1. Do what is legally permissible for the release of the credentials of my child from the
previous school.
2. Submit the transfer credentials of my child on or before ______________________.
3. I agree that the official record from this school shall only be released until the submission
of school credentials from the previous school.
4. I understand that the school shall only issue a temporary progress report card signed by
the adviser to monitor the progress of my child and that is inadmissible for transfer and
enrollment purposes.

Without the transfer credentials of my child I fully understand that :

1. My child is only temporarily enrolled.


2. My child cannot be officially promoted to a higher grade level.
3. My child cannot officially graduate from this school.
4. Should my child attain the qualifying average and other criteria for academic honors ,
he/she will not be recognized.

With all the foregoing , I shall hold free from any liability, whether civil , criminal , administrative
DepEd Personnel who are involved in the acceptance and enrolment of my child , and the
enforcement of any law or rule and the obligations provided in this document.

Attested this __________ day of _________ at _____________

_________________________________
Signature Over Printed Name of Parent / Guardian

Gov’t ID Presented: _____________


ID Number : ___________________
Date Issued: ___________________

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