DPRM Form Esd 03 A Revised 2017
DPRM Form Esd 03 A Revised 2017
DPRM Form Esd 03 A Revised 2017
I, PMSg Ericson B Almerez of legal age, residing at 5-AB, Cabantan St., Barangay
Luz, Cebu City, a member of Philippine National Police, presently assigned at Police Station
3, Cebu City Police Office designated to the position of Chief Operation PNCO and
Evidence Custodian effective on November 11, 2015 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 Senior Master Sergeant
(PSMS);
2. I possess 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 passed the E-Learning Program 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 liability and responsibility in the foregoing declaration under the
law and regulation of the PNP, NAPOLCOM and CSC;
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 standard, collateral requirements
and case records and other record related to this declaration if any, in any agency or
office.
12. I have attached the certification from the court and quasi-judicial body on the status
of the case, if applicable. YES N/A
DPRM FORM RSD-03-A (Revised 2017)
The following are the details of my pending criminal and/or admin case (s) and records
of suspension/demotion from my present rank:
NATURE OF CASE CASE STATUS DATED FILED/
COMPLAINT/ COMPLAINANT TITLE/NUMBER (Pending or PENALTY/ PERIOD PENALTY
OFFENSE AND VENUE Resolved) DECISION IMPOSED
N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A
N/A N/A N/A 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 substance.
Affiant declares that he/she has read and understood the affidavit of undertaking and that the
same is his/her act and deed.
SUBSCRIBED AND SWORN TO before me this _____ day of June, 2019, at Cebu City,
Philippines.
____________________________
(Notary Public)