COMMISSION ON ELECTIONS

LAW DEPARTMENT
@
Republic of the Philippines
COMMISSION ON ELECTIONS
~ M~~ 67
Manila

CERTIFICATE 0

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

1. File this in FIVE (5) LEGIBLE coptas,
2.. File this certificate of candidacy with the Law Department, COMELEC Main Office, Intramuras, Manila, starting November 20, 2009 up.tc
midnight of November 30, 2009.
3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
tertifkate of nomination shalf be accepted.
4. Titles such as 'Dr., Atty., Don, Ginoo, Senor, Datu, Hadji, Sultan, Bai, Senora, Kapitan or similar titles are expressly prohibited.
5. This certificate shall be sworn before a notary public or any official authorized to administer oath. CDMELEC officials are not authorized to
administer oath.
" . -------------------------------------
I herl!by annou nce my candidacy for the PQsitiofl of PRESIDENT, Republic of the Philippines, in the May 10, 2010
~JectiQOSiand after h;ilving been swern to in ac:cordan~ with law, \lereby state the followin!J:

1. MY NAME IS : 3. MY GENDER IS : 4. MY AGE IS :

1.1 last Name

~Mali! DFemale A!? .
S. MY DATE OF BIRTH IS :
1.2 First Name
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:0:6 ;-: 1:4:-: 1:9: 6: 4:
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~ Middle Name ~lonth Dav Yea!

6. MY PLACE OF BIRTH IS :
2. I AM GENERALLYOR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME
(Io"'",t" only one nickname or stagename) City/Mun M~niJ~ '
. ~~rl::rB:.Sr:.[:::::r:J:::::::;::;:::::::r ::1::.:::.::: I::~::;::~:.~:::::::f::~::I: :: Provlnce

8. MY CIVIL STATUS IS :
7. I AM OFFICIAllY NOMINATED BY: (•••.
ttach Certif\cat" of Nomination)
LAKAS KAMPI CMD o Sln91e 0 Widow}er

~ Marrled 0 Legally Separated

9. MY RESIDENCE/
ADDRESS IS:
9.1 Province
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o Annulled Divorced i
Full Name of S,POUShif married

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9.2 Clty/Nunicipality 9.3 Barangay

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MONICA PrdETO-TEODORO

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9.4 House No., Street! Subdivision
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:- : ~ -:- .-:- - - ~~~ ~- ~.~.~~- - - -:- - - ~- - ~- - -:- .- - - - ;~- ;- - -:- - - ~~- - - - -~ OCCUPATION : : : IS :
. , LAWYER
11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as.No.9) 12. I AM A REGISTERED·VOTER Of
0025-A
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Precinct
·~~Fit(~JOi(j~rJ··············
r 'PERIOD OF RfSIOENCEIN THE PHIUPPINES BEFORE MAY 10, 2010 IS:
6gy ................... _-- •..•........ - -.- .

: 0; 5; aty/~1un .~~,!?\~!~q .
No. of Months No.ofY€ars
'. -. ~- --
Province TARLAC

14. I AM A NATURALBORN FILIPINO CITIZEN. i D THUMa PRINT

15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN I
COUNTRY. ~
16. I AM ELIGIBLE FOR THE OFFICE 1 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
VOLUNTARlLY, WITHOUT MENTALRESERVATION OR PURPOSE OF EVASION.

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I hereby certify that the facts stated herein are true and correc{.~~\1

OATH
SUBSCRIBED AND SWORN to before me this 30" day of November, 2009, atMandaluyong Cityaffiant exhibiting to me his/her
CTC/ldentification Card No.Passport # XX0871488 Issued by : DFA On: April 05, 2008 •

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Book No. -""5i----'

Series of 200=