Para Kay Mang Ramon.docx

REPUBLIC OF THE PHILIPPINES) CITY OF PUERTO PRINCESA ) S.S.

AFFIDAVIT OF UNDERTAKING I, RAMON A. DALISAY, of legal age, married, Filipino and a resident of Bgy. Mandaragat, Puerto Princesa City, Philippines, after having been duly sworn to in accordance with law, depose and say, to wit: 1. That I am the registered owner of a motorcycle which is particularly described as follows: Make.: MITSUKOSHI Chassis No.: RLGMD11BOGD027088 Engine No.: VMVX3E2D027192 MV File No: 0101-00000298210 Plate No.: AE 20671 2. That the said motorcycle is currently impounded in the Philippine National Police (PNP) San Pedro- Station of Puerto Princesa City, Palawan; 3. That I am hereby declaring my intention to obtain possession of the said motorcycle unit and I hereby undertake to present the same before the court respecting any proceeding in relation to the vehicular accident which occurred on _________________________ at around _____ o’clock in the morning/afternoon along Tiniguiban Highway, Bgy. Tiniguiban, Puerto Princesa City, Palawan; 4. That I undertake to participate in any investigation that may be held by the police or any agency that has the duty to do the same and to present as evidence the said motorcycle before the courts of law; 5. I am executing this affidavit to attest to the truth of the foregoing statements. IN WITNESS WHEREOF, I have hereunto set my _________________________________ at Puerto Princesa City, Philippines.

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RAMON A. DALISAY Affiant ID No. ____________________ SUBSCRIBED AND SWORN to before me this _________________________________ at Puerto Princesa City, Philippines, Affiant exhibited to me the competent evidence of identity as shown below his name and signature. Doc. No. ____; Page No. ____; Book No. ____; Series of 2017.