Undertaking for Terminal Leave
Republic of the Philippines )
_____________________ ) SS.
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AFFIDAVIT OF UNDERTAKING FOR TERMINAL LEAVE
I, _______________________________, of legal age, Filipino, single/married/widow/widower and a resident of ___________________________ after having been duly sworn to in accordance with law, hereby voluntarily depose and say:
That I am presently employed in the Commission on Audit and due for compulsory/optional retirement on ______________________________.
That I have applied for Terminal Leave effective _______________________.
That pre-audit of financial transactions of national government agencies, among others, has been lifted per COA Circular 2011-002 dated July 22, 2011.
That should it appear in post-audit there was overpayment in the money value of my terminal leave, I am willing to refund of any excess amount thereon;
That on the other hand, if it will appear in post-audit that I was underpaid in my terminal leave benefits, it is understood that the Commission on Audit shall pay me the difference of the amount corresponding to the underpayment; and,
That I am executing this affidavit to attest to the truth to all the above facts.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in ____________, _____________, Philippines.
___________________________________
Affiant
SUBSCRIBED AND SWORN TO before me this _____ day of _________ at ________________ affiant exhibited to his/her competent evidence of identity by way of _________________ issued on __________________ in _______________, Philippines.
Notary Public
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;