Republic ~rthe Philippines

COM,lHIS810N ON ELECTIONS
Manila

INSTRUCTIONS: (Read well before filling up this forrn.) . . '. '~ .

.. 1. File this In·FIVE (5) LEGIBLE copies. '. / ." .' 20 2009 u to
2. File this certlflcate of candidacy wtth the Law Depaltment COMELEC Malff' Office, Intramuros, F>1anlla,starting November, . P
midnight of November 30, 2009.' "... d h f N b r 30 2009 no
3. Attach to tills ceruncate tile Certificate of Palty Nomination unless you are an independent candidate. After ml nlg t 0 ovem e r ,

certificate of nomination shall be accepted. .. .... . "

'I "TItles SUch as 'Dr Atty Don Glnoo Sefior Datu HadJ"i Sultan Sal Senora Kapitan or sImilar trtles are expressly prorsbtted. ""I d t
'. '1" 1 , 1 , s ,.' .' • t th COMElEC ffi tats are not author ze 0
5. This .certlflcate shall be sworn before a notary public or any offkial authorized to adrnlnis er oa . 0 C . .

administer oath. ~ii!iiiiiiiii

11; MY POST OFFICE ADDRESS FOR ELECTION PURPOS'ES IS : (Could be the same a~ No.9) 12. 1 AM A REGISTERED VQTER OF .

'.~
{,~ S~p..
__ 4 ~~~'. W _ ~ ~ .~. •
t..~"'\.-\"I •.)t~
_. _. .------- •
$'\!\
_. 0 _
~~."'-1).Q~~UfQ\
•• 0. ••• 0
~t..s.'-t... C~
• _0 _. 0 _. 0 0 __ • 0 0 0 _. _
Precinct _'8.:;~.__ ._.__
~;._
.." ;_ _,._
..
13.· MY PERIOD OF RESIDeNCE IN THE PHIUPPINES BEFORE MAY 10, 2010 IS : 8gy --¥:~---.---.-- ".-.-..-..- - "..
t----;:---1 :----,----;. aty/t/\un __
~~~~_~ __ :~:~1~~.~\~~_~
_
~.J.~.J No. of Months L~.b.l No. of Years Province ._~~~~ .. ~~~~~~~_~.; ..

. '. r AMA NATURAL BORN FIliPINO CITIZEN.

<,,:-J. I AM NOT A PERMANENT RE$IDENT Of, OR IMMIGRANT TO, A FOREIGN"
COUNTRY.
16. I AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
17. I WILL SUPPORT AND" DEFEND THE CONSTTIUTION OF THE REPUBLIC OF THE
" PHILIPPINES AND WILL MAINTAiN TRUE FAITH AND ALLEGIANCE THERETO. I
WILL OBEY THE LAWS, LEGAL ORDERS AND DREES PROMULGATED BY THE
DULY CONSTITUTED AUTHORITIES. I IMPOSE IS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVA N OR PURPOSE OF EVASION. "
. " . "~-" " .. "",.",.,'" .

~n;::;;'~~'';;;~;:'~;~................•.........
~'"""'.................
""~\ t..:. \....o1-Y><'V~ .j~. " "