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Security Declaration Form - Long Size

The document is a security declaration form for the Philippine National Police (PNP) that outlines the responsibilities and obligations of individuals handling classified PNP information. It states that the signee will (1) be responsible for preserving the security of classified information, (2) not divulge classified information to unauthorized persons, and (3) surrender any classified materials upon leaving their position. It warns that failing to safeguard information could result in lost security clearance, prosecution, and being declared a security risk.

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Mossad Cohen
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© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
422 views

Security Declaration Form - Long Size

The document is a security declaration form for the Philippine National Police (PNP) that outlines the responsibilities and obligations of individuals handling classified PNP information. It states that the signee will (1) be responsible for preserving the security of classified information, (2) not divulge classified information to unauthorized persons, and (3) surrender any classified materials upon leaving their position. It warns that failing to safeguard information could result in lost security clearance, prosecution, and being declared a security risk.

Uploaded by

Mossad Cohen
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE SPECIAL ACTION FORCE
FORCE INTELLIGENCE AND INVESTIGATION DIVISION
Camp Bagong Diwa, Bicutan, Taguig City

___________________
Date

SECURITY DECLARATION

I, __________________________________________________, assigned with


______________________________________________ hereby declare and affirm:

1. That I shall be responsible in preserving the security of all classified


information which may be imparted to me as a result of my employment with the
Philippine National Police (PNP), and undertake to comply with such regulations
concerning as from time to time be laid down;

2. That I shall not divulge any classified information acquired by me to any


unauthorized person, either verbal or written form;

3. That I shall not, without the authority of the Chief, PNP, publish any
classified information which I had Acquired or to which I have access owing to my
position whether orally or in any document, article, book, film, or otherwise;

4. That I shall, upon relief/transfer or retirement, surrender any classified


sketch, plan, model, article, note, security tag/badge, or document made or acquired by
me in the course of my official duties;

5. That shall I fail to safeguard classified information I can be liable to: lose
my security clearance, prosecution under the Revised Penal Code and Presidential
Degree 51, and be declared as a security risk;

I hereby certify that I have read and fully understood the contents of my
security declaration and I am aware of my responsibility for safeguarding the PNP
classified information.

I hereby further certify that I fully understood that the provisions of this security
declaration apply not only during the period of my employment with the PNP shall have
ceased. That I am liable to prosecution under the Revised Administrative Code,
Presidential Degree 51, and other existing laws and regulations of the Republic of the
Philippines, if cites by intent or negligence, I allow classified information to pass unto
unauthorized hands.

Signature: __________________
Name: _____________________
Rank: ______________________

SUBSCRIBED AND SWORN to before me this ______________ day of


_________2021.

__________________
Administrative Officer

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