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NDCP Registrar Form 3-2014

Republic of the Philippines) Quezon City ) S.S.

A F F I D A V I T

I, _____________________________, of legal age, single/married/widowed, residing at ____________________________________________, after having been sworn according to law, depose and say:

That, I am not accused of any criminal offense involving moral turpitude before any civil court in the Philippines, neither have I been previously convicted of any such offense, nor am I facing charges involving misconduct before any military court or administrative body, including any provincial or city fiscal;

That, I do not advocate, nor am I a member of any unlawful or subversive organization that advocates the overthrow of the government of the Philippines or any other government;

That, I clearly understand that any misinterpretation and/or falsehood used by me in the furtherance of any application for the MNSA Program of NDCP, shall be grounds for court martial charges and/or any administrative proceedings deemed appropriate by the proper authority.

FURTHER AFFIANT SAYETH NONE:

____________________________

(Affiant)

SUBSCRIBE AND SWORN to before me this ______ day of ______, ______

at ________________________. Affiant exhibited to me his/her Residence

Certificate Number_______________ issued on______ at

_____________________.

________________________

Notary Public Doc. __________

Page No. __________

Book No. __________

Series of. __________

REPUBLIC OF THE PHILIPPINES DEPARTMENT OF NATIONAL DEFENSE

NATIONAL DEFENSE COLLEGE OF THE PHILIPPINES

Academic Row, Camp General Emilio Aguinaldo, Quezon City

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