Affidavit of Undertaking

PRC affidavit of undertaking for continuing professional development

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AFFIDAVIT OF UNDERTAKING
I, ______________________________________________, of legal age, resident
of ____________________________, after having been duly sworn, depose and state that
in connection with my application as a CPD Provider, I shall:

1.
2.
3.
4.
5.

Comply with the requirements in the CPD Guidelines;
Conduct at least one (1) accredited CPD program within a year from the
issuance of the accreditation and every year thereafter;
Ensure that the CPD activities conducted meet the criteria set forth by the
CPDC;
Observe the approved program in the conduct thereof; and
Submit genuine and correct documents in support of this application and
other reports required by the CPDC.

In witness whereof, I hereby affix my signature this ________day of ___________, 20____

_______________________
Affiant

_______________________
Position

SUBSCRIBED AND SWORN TO before me this ______ day of ____________, 20___
Affiant exhibiting to me his/her ________________________________________ issued
on ____________________ at ___________________.

NOTARY PUBLIC

Doc. No: ____________
Page No: ____________
Book No: ____________
Series of ____________

CPDD-06
Rev. 01
November 22, 2017
Page 1 of 1