CS Form No.
32
Revised 2017
REPUBLIC OF THE PHILIPPINES
Philippine National Police
OATH OF OFFICE
I, Police Corporal Mark Anthony B Pornela of QCHPCP 5, Kamuning Police
Station, QCPD having been appointed to the position of Police Staff Sergeant
hereby solemnly swear, that I will faithfully discharge to the best of my ability, the duties
of my present position and of all others that I may hereafter hold under the Republic
of the Philippines; that I will bear true faith and allegiance to the same; that I will obey
the laws, legal orders, and decrees promulgated by the duly constituted authorities of
the Republic of the Philippines; and that I impose this obligation upon myself
voluntarily, without mental reservation or purpose of evasion.
SO HELP ME GOD.
PSSgt Mark Anthony B Pornela
(Signature over Printed Name
of the Appointee)
Government ID: PNP
ID Number : _________
Date Issued : _________
Subscribed and sworn to before me this _______ day of
___________________, ____ in ________________________________________..
PDIR GUILLERMO LORENZO TOLENTINO ELEAZAR
Regional Director, NCRPO
CS Form No. 4
Series of 2017
Republic of the Philippines
Philippine National Police
CERTIFICATION OF ASSUMPTION TO DUTY
This is to certify that Ms/Mr. Police Corporal Mark Anthony B Pornela has
assumed the duties and responsibilities as Beat Patroller of QCHPCP 5, Kamuning
Police Station, QCPD effective ____________________.
This certification is issued in connection with the issuance of the appointment
of Ms/Mr Police Corporal Mark Anthony B Pornela as Police Staff Sergeant.
Done this ____ day of ________________ in ______________.
PMaj ROLANDO S LORENZO JR
Head of Office/Department/Unit
Date: ________________
Attested by:
PSSUPT MARIA LEONORA C CAMARAO
Highest Ranking HRMO
201 file
Admin
COA
CSC For submission to CSCFO
within 30 days from the
date of assumption of the
appointee
DPRM FORM RSD-03-A (REVISED 2017)
Republic of the Philippines
National Police Commission
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
Camp Crame, Quezon City
AFFIDAVIT OF UNDERTAKING FOR PROMOTION
I, PO2 Mark Anthony Baracael Pornela of legal age, residing
at
(Rank) (First Name) (Middle Name) (Last Name)
Block 15 Lot 30 Phase IV Eastwood Residences Brgy. San Isidro Rodriguez Rizal, a member of
Philippine National Police, presently assigned at Quezon City Police District Police Station 10
(QCHPCP5) designated to the position of Patrol Officer. (Office/Unit) effective on February 01, 2017
after having duly sworn to in accordance with law, do hereby depose and state that:
1. I am a candidate for promotion to the rank of Police Officer 3;
2. I posses all the mandatory qualifications (i.e. eligibility, training, time-in-grade and education)
and other collateral requirements for promotion;
3. All the documents I have submitted to support my promotion are accurate, genuine and
authentic and that all the originals are now with me ready for verification and/or comparison
anytime;
4. I have passed the E-Learning Programs as required under PNP P.A.T.R.O.L. Plan 2030;
5. I will not seek reassignment and/or detail to other offices/units within six months from the
issuance of my promotion order;
6. I am fully aware of my liability and responsibility in the foregoing declaration under the law and
regulation of the PNP, NAPOLCOM and CSC;
7. I agree to the AUTOMATIC NULLIFICATION of my promotion and I hold myself administratively
and criminally liable for “DISHONESTY” and “PERJURY” for falsehood, misrepresentation or
omission and for any fraudulent, falsification or tampered documents that I have submitted;
8. I have read and checked all entries appearing in my attached Personnel Accounting and
Information System (PAIS) Generated PDS and that I certify that all entries thereof are true and
correct;
9. I further certify that the foregoing declarations are true and accurate to the best of my knowledge
and ability and I hereby authorized the PNP to obtain and secure pertinent records that will
show my qualification standards, collateral requirements and case records and other record
related to this declaration if any, in any agency or office;
10. Since the pendency of my appeal/grievance/complaints for promotion renders this application
moot and academic, I hereby voluntarily withdraws said appeal/grievance/complaints for
purposes of promotion;
11. I have criminal and/or administrative case; YES NO
I was suspended from my present rank; YES NO
I was demoted from my present rank; YES NO
An appeal is pending, in lieu thereof, before any judicial
and administrative or quasi judicial bodies. YES NO
12. I have attached the certification from the court and quasi-judicial body on the status of the case,
if applicable. YES N/A
The following are the details of my pending criminal and/or admin case (s) and records of
suspension/demotion from my present rank:
CASE DATE
CASE
NATURE OF TITLE/ FILED/
STATUS PENALTY/
COMPLAINT COMPLAINANT NUMBER PERIOD
(Pending or DECISION
/OFFENSE AND PENALTY
Resolved)
VENUE IMPOSED
N/A
N/A
N/A
Note: Use extra sheet if necessary
.
That I attest to the truthfulness of the foregoing declaration and submit myself
to the legal consequences thereof, if ever the statements above are wanting in truth
and in substance. Affiant declares that he/she has read and understood the affidavit
of undertaking and that the same is his/her act and deed.
PO2 Mark Anthony B Pornela
Affiant
SUBSCRIBED AND SWORN TO before me this _____ day of
________________, 20____, at ___________________________________,
Philippines.
_______________________
(Notary Public)
Doc No. ________________________
Page No. _______________________
Book No. _______________________
Series of 2018.
