Republic 'of,the PhlllppiJles

COMMISSION ON ELECTIONS
. Manila

INSTRUCTIONS: (Read well before filling up this form.) .

. 1. File this in FIVE (5) LEGIBLE Copies. .' '. .
2. File this certificate' of candidacy with the Law Department, COMELEC Main 0 ftce, tritramuros, _Manila, starting. vember 20, 2009 up to
, midnight of November 30, 2009. . '. <c.>" .'
3. Attach to this certlft<;ilte the Certlftcate of Party Nomination unless you are an Independent candldete. After mld!1lght of November 30, 2009, no
certificate of nomination shall be accepted.
4. Titles such as 'Dr., Atty., Don, Ginoo,' Senor, Datu, Hadjl, Sultan,. Bal, Senora, Kapitan or similar titles are expressly prohibited.
S. this certiftcate shall be sworn before a notary public or any official authorized to administer oath. COMELEC offidals are not authorized to
administer oath. . .

11. MY POST OFFICE ADDRESS FOR ELEc:TION PURPOSES IS: (Could be the same as No:9) 12. I AM A REGISTERED VOTER OF .
8514 CAONG ST., SAN ANTONIO VILLAGE, MAKATI Preclnct ?_~9_-:~ . ..__. ..__
13. MY PERIOD OF RESIDENCE IN THE PHIlIPPINES BEFORE MAY10, 2010 IS:
Bgy ~_~~_._~:t;._~~J9.
__ .. ._:_._
..:_---.-----, ,-----.----.., _~~_~~_!:~ . .. :__..
l.9.L~j No. ~t Months l§..i.:zj No. of Years
CitY/Mun

Province ~~!l.~J.:~
~~~~Q __ _
I _ "

1~. I AM A NATURAL BORN FILIPINO CITIZEN. , ROl.LEP THUMBRRINT

15. r AM NOT A PERMANENT RESIDENT'OF, OR IMMIGRANT TO, A FOREIGN
COUNTRY,
i'" l AM EllGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO. '
1 ~WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE
~PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. I
WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE
DULY CONSTITUTED AUTHORmES. I IMPOSE THIS OBUGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.'

I hereby certify that the facts stated herein are true

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JEJO
Ignature of candidate Over Printed Name

. .' '. Illn~ 28 2009 OATH . .

SUBSCRIBED AND s.YY-P,.f1!..~R ,befqre m\l~~s __ . day of November, 2009, at ,-'-:---,t:::,...-,..-;-r
ere/Identification card No. ~ Issued by : Mk!<J.rrJ On : -+~"""'~~I-==-""
Doc. No,
'2~ .
Page No. -.'__ "..::..;'O=r-_-.:....
Book No. :2---I-f_--,;
Series of 200 __