REPUBLIC OF THE PHILIPPINES ]

_________________________ ] S.S.

AFFIDAVIT
I,

__________________________________,
of
legal
age,
single/married/widow/separated,
Filipino
and
residing
at
______________________________________ after having been duly sworn
to in accordance with law do hereby depose and state that:

1. I am joining the 2012 Metrobank Foundation Search for The

Countrys Outstanding Policemen in Service (COPS), (the
PROGRAM) and in connection therewith, I am submitting my duly
accomplished nomination form and supporting documents;
2. I hereby attest to the best of my knowledge that all the information
contained in the nomination form and supporting documents is
accurate and correct;
3. I also affirm and attest that I am of good moral character and has
not violated any laws of the land;
4. I hereby confirm that, as of the date of this affidavit, I have no
knowledge of any pending complaint against me before any judicial
or administrative body and I hereby undertake that, should it come
to my knowledge that a case be filed against me after having
submitted my nomination and during the evaluation process
thereof, I will immediately inform Metrobank Foundation so that the
latter may act accordingly to preserve the integrity of the Program
and which may include the cancellation of my nomination at its
sole discretion;
5. I have read and will abide by the rules, regulations
requirements governing the above-mentioned competition;

and

6. I am aware that any willful misrepresentation of facts stated herein

can be used as basis for my disqualification; and
7. I am executing this affidavit to attest the truth, veracity and validity
of all the foregoing and to certify, under oath, the authenticity of my
records, under pain of perjury.
FURTHER, AFFIANT SAYETH NAUGHT
___________________
Affiant
REPUBLIC OF THE PHILIPPINES
) S.S.

SUBSCRIBED AND SWORN TO before me this ______________ day of

___________20_____, in ____________________ affiant exhibiting his/her
Community Tax Certificate No. ______________________ Issued at
_________________ on ________________, 20 _________