Republic of the Philippines

COi\[i\HSSION ON ELECTIONS
Manila

CERTIFI

INSTRUCTIONS: (Read well befo;efliling up thiS form.)

1. File this in FIVE (5) LEGIBLE copies.
2. File this certificate or candidacy with the Law Department, COMELEC Main Office, Intramuros, Manila, starting November 20, 2009 UP to
midnight or November 30, 2009. . .
3. Attach to this certtncate the ceruncate or Party Nomination unless you are an independent candidate. After midni~ht or November 30, 2009, no
certificate of nomination shall be accepted.
4. Titles such as 'Or., Atty., Don, Gmco, Senor, Datu, Hadji, Sultan, Bail Senpra, Kapitan or similar titles are expressly prohibited.
5. This certificate shall be sworn before a notary public or any official autnortzeo to administer oath. COMELEC crrrciars are notaurnonzec to
administer oath.'

.1. MY NAME is :
1.1 last Name
: R 0 :X A S
5. MY DATE OF BIRTH IS :
1.2 First Name
... :.M:.A.NUJ:.L.. ::L..::...::._-.'~
J.3 Middle Name
:A R A.N i::r: A ' .. :'" .
Month Day Year

2.1 AM GENERAllY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME 6. MY PLACE OF BIRTH IS:
(Indicate only one nickn.me.o,stagen~me).. City/Mun .M a n.i l.9.
. . . . . Province N. C... R...
•·M A R
r-------~----------~~~------------~--------------------~----~+8.MYCIVILSTATU5IS:
7.1 AM OFFICIAllY
.... L.ib e ra L ..Pa.r.ty, ..
NOMINATED BY: (Attach Certificate or Nomination)
o Single 0 Widow/er

[2] ~larried 0 Legally Separated

9. MY RESIDENCEI
ADDRESS IS:
9.1 Province o Annulled I Divorced

9.2 City/Municipality Full Name of Spouse, if married

9.3 .eara~gay
0Fr"'!'i••n••• 8-..., . .=B;,.;;."~' .""'.
:R 0 X: A S c IT· Y .;H fA :R:A N: G A ,y; 5.:
'K
10. MY PROfESSION OR
h,;;;,. .;;.e~z._.-..:.R.:..o::.. '4-8
S;;;,.,;;;,8,;;;,n;..;C;;.;. S

9A HOU5~ NO;! Street ~ Su~diviSion • . . . . ., .,. OCCUPATION IS.:

:R: I Z .:A: L ...
: S :T. : : Senator
11. MY POST OFFICE ADDRESS FOR ElECnON PURPOSES IS : (Could be the same as No,9) 12. I AM A REGISTERED VOTER OF

•.Riz81 .. S~~., .. Ba ra 1l9.ay ... 5, ...RoX CIS ... C:L:ty .•.. C CIpi
I-'-...;.;."""'~~-'-'-;..;..;..;;.;..;.;..;..;..;.;.~..;..;.;.;.;;;;.;..;.;..:;.;..;..;.;.~..;..;.;...;..;.;.:...;.;.;..:..:..;.;..;..;.;.:...;.;.;.;.;..;;;..;..;.;.;.;.;..;.:..:..:..;..;.;..;..;.:.;.;~
Z. P'e<inct22A
Bgy 5 r

13. MY PERIOD OF RESIDENCE IN THE PHILIPPINES 8EFORE MAY 10, 2010 IS:
C;tylMun 89 x a s .~ ~ ty
_.:,.6.: No. of Months
52: No. of Years
Province _ .. C.~.P .t.?-. .
14. I AM A NAl1JRAL BORN FILIPINO CrnZEN.
15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FORE!,GN
COUNTRY.
16. I AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
17. I 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 AUTHORITIES .• I IMPOSE THIS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RE VA110N OR PURPOSE ION.

Doc. No. 4,2,P

Page No. ~
BookNo. --.l:t:.L-----,
Series or 200$

NOT f.d~~,. Jade (.(II~C J;!ZOt·J C'jj\,

I", n. DSC.fMi3tR :J',. ~l'10
C .:I;tMISSION NO. NP·ZS1 f')"I)
.r ' H.OOR, AURORA TCiVH:~,
ARANETA CENTER, QUEZON CITY
tTR NO. 1SS5ZaO - JAN. 2', 200'1
IBP NO. 777646 -JAN 22, 20(19-
ROLL NO. sal)09