DPRM Form RSD 03 A Revised 2017
DPRM Form RSD 03 A Revised 2017
I, PO3 BIMBO M LABAJO of legal age, residing at Bonifacio 4th, Zoe 3, Digos City,
a member of Philippine National Police, presently assigned at Digos City Police Station
designated to the position of Investigator Member effective on February 9, 2018 after having
duly sworn to in accordance with law, do hereby depose and state that:
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
COMPLAINT/ COMPLAINANT TITLE/NUMBER (Pending or PENALTY/ FILED/
OFFENSE AND VENUE Resolved) DECISION PERIOD
PENALTY
IMPOSED
Slight Amalia Leong RIAS 11-LAD- Resolved Suspension August 14,
Misconduct 11-53 2017 to
Sep. 12,
2017
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.
____________________________
(Notary Public)