I, (name) , an applicant for (position applied for) , after having been duly sworn in accordance with law, hereby undertake to perform the following, in connection with my application for the position of ____________:
1 shall inform the Council in writing and submit an updated Comprehensive Medical Certificate should I contract the Coronavirus Disease (COVID-19) at any stage of the application process;
2 will subject myself to a Real-Time Polymerase Chain Reaction (RT-PCR) testing, and inform the Council in writing the results thereof together with an updated Comprehensive Medical Certificate in any of the following cases: (a) should I experience fever, colds, cough, sore throat, shortness of breath, fatigue, muscle and joint pains, sneezing not related to allergy, and other COVID-19 related symptoms; (b) should I come in close contact with a known case of COVID-19; (c) should I have a recent local or foreign travel to a location with confirmed COVID-19 case; and/or (d) should I, in any manner whatsoever, contract the COVID-19 at any stage of the application process;
3 will inform the Council in writing together with an updated Comprehensive Medical Certificate should I contract any COVID-19 related disease or any other serious illnesses at any stage of the application process.
Should I have been found to have made false statements, misrepresentations, or concealments regarding my foregoing undertaking, I understand that I shall be considered disqualified from being nominated by the Council.
SUBSCRIBED and SWORN to before me this ___ day of __________ 2020 at __________, by Affiant who personally appeared before me, exhibiting to me _______________________________________.
Doc. No. _____; Page No. _____; Book No. _____; Series of 2020.
