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Affidavit of Undertaking for Terminal Leave

COA affidavit of undertaking for terminal leave

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______________
) S.S.

AFFIDAVIT OF UNDERTAKING FOR TERMINAL LEAVE

I, _________________________________________, of legal age, Filipino,
single/married/widow/widower and a resident _________________________________
_________________________________________________, after having been duly sworn to in
accordance with law, hereby voluntarily depose and say:
1. That I am presently employed in the Commission on Audit and due for
compulsory/optional retirement on ______________________________.
2. That I have applied for Terminal Leave effective _______________________.
3. That pre-audit of financial transactions of national government agencies, among
others, has been lifted per COA Circular 2011-002 dated July 22, 2011;
4. 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;
5. 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
6. That I am executing this affidavit to attest to the truth to all the above facts.
IN WITNESS HEREOF, I have hereunto signed my name below this ____ day of
________________, 20________ at ________________________.

_______________________
(Affiant)

SUBSCRIBED AND SWORN TO BEFORE ME this _______ day of _________
___________, 20 ______, affiant exhibited to me his Government Issued ID __________with
No._________________ issued at ____________________ on ____________________.

Doc. No. ________
Page No. ________
Book No. ________
Series of ________

NOTARY PUBLIC
 
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