1. This document is a certificate of candidacy form filed with the Commission on Elections of the Philippines for the upcoming election.
2. It collects basic information about the candidate such as their name, address, gender, date of birth, civil status, citizenship status, and eligibility for the office being sought.
3. The candidate signs the form to certify that the facts stated are true and takes an oath to support the Philippine Constitution, obey the laws, and impose the obligations without mental reservations.
1. This document is a certificate of candidacy form filed with the Commission on Elections of the Philippines for the upcoming election.
2. It collects basic information about the candidate such as their name, address, gender, date of birth, civil status, citizenship status, and eligibility for the office being sought.
3. The candidate signs the form to certify that the facts stated are true and takes an oath to support the Philippine Constitution, obey the laws, and impose the obligations without mental reservations.
1. This document is a certificate of candidacy form filed with the Commission on Elections of the Philippines for the upcoming election.
2. It collects basic information about the candidate such as their name, address, gender, date of birth, civil status, citizenship status, and eligibility for the office being sought.
3. The candidate signs the form to certify that the facts stated are true and takes an oath to support the Philippine Constitution, obey the laws, and impose the obligations without mental reservations.
1. This document is a certificate of candidacy form filed with the Commission on Elections of the Philippines for the upcoming election.
2. It collects basic information about the candidate such as their name, address, gender, date of birth, civil status, citizenship status, and eligibility for the office being sought.
3. The candidate signs the form to certify that the facts stated are true and takes an oath to support the Philippine Constitution, obey the laws, and impose the obligations without mental reservations.
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Republic of the Philippines .
COMMISSION ON ELECTIONS Manila
CERTIFICATE OFT~~~~~rf.J4w. r.;" . '. . SEr'r f 1iIISTRUCTIONS: (Read well before filling up this form.) , .. 1. File this In·FIVE (5) lEGI8LE copies, . I 2, File. this certlfkate of candidacy with the law Department. COMElEC Main Office, IntramufOS, Manila, starting November 20, 2009 up to rnidnfght of November 30, 2009.' .' . . .
II ," 3, Attach to this certificate the Ceitfflcate. of ~arty Nomination unless you are an independent candidate, After midnight of November 30, 2009, no certificate of nomination shan be accepted. . 4. 'Titles such as 'Dr., Atty., Don, Glnoo, Senor, Datu, Hadji, Sultan, Bal, Senora, Kapitan or sImilar titles are expressly prohIbited. 5. This certificate shall be swam before a notary public or any offidal authorIZed "to administer oath. COMElEC offida!s are not authorized to • administer oath, . '. . '
3. MV GENDER IS : o Male DFemale
5. MY DATE OF BIRTH IS : [n[6':_["/ :~V. ...9_..: .__ :O"':-r'I'Ttf~T~]. l .• I •• ~ ""_""",,
Month Dav . Year
~:~~:L:~~~:(k:':::::::: B. MY aV,H. STATUS IS :
o 0 Single Widow/et
o 0Married Legally Separated.
!Zj Annulfed I Divorced
Full Name of Spouse, If marrIed
14. I AM A NATURAL BORN FIUPINO GnZEN.
l. I Alv'f NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN ',_ COUNTRY. . . , ui. I AM ELiGIBLE FOR THE OFFICE ISEEK TO BE ELECTED TO. . 17. I WILL SUPPQRT AND'DEfEND THE CONSTITUTlON OF THE REPUBUC OF. THE . PHIUPPINES AND WILL MAINTAiN 1RUE FAITH AND AllEGIANCE THERETO. I WIll OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY nu:: DULY CONSTITUTED AUTHORITIES. I IMPOSE THIS OBUGATION UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURP SE OF EVASION. . Thumbprint
I hereby certify that the facts stated herein are true . of my own personal knowledge.
Qtof Candldelle --tbSf Signature 1ii Nam<! V~ Over Printed
___ r' J]Sf ur VtrJ~ ~ (Signature over printed name) (Nominee)
