COMMISSION ON ELECTIONS

LAW DePARTMENT .
Republic of-the Philippines
.COMMISSION ON ELECTIONS
Manila
o
CERTIFICAT
VIC:e-
INSTRUCTIONS: (Read well before filling up this form.)
1. File this in FIVE (5) LEGIBLE copies. . . ..
2. File this certlflcats of candidacy with the Law Department, COMElLEC Main 0 rtlng November 20, 2009 up to
. midnight of November 30, 2009. .
3. Attach to this certificate the Certltlcate of Party Nomination unless yO);! are an Independent candtdate. After midnight of November 30, 2009, no
certificate of nomination shall be accepted.
4. Titles such as 'Dr., Atty., Don, Glnoo,Sefior,.Datu, Hadjl, Sultan, 8al,,$eoora, Kapitan or similar titles are expressly prohibited.
5. This certificate shall be sworn before a notary public or any official! authorized to administer oath. COflilELEC offidals are not authorized to
administer oath. •

11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Coufd be the same as No:9) 1,2. I AM A REGISTERED 'VOTER OF

_._J.f J.~P..?BJ_b.t.....l?-bX.fBQ.N:r .._:r_Q~.~B-.._:1.?1.~_..~.~.t::1h_l?J_NJ.c.~.~!:.~:r.l?_.~.!:!:..•.._.. Precinct . 02.5.1::-.A

.._ _: _ .
13. MY PERIODOF RESIDENCE IN THE PtULIPPINES BEFORE MAy(ftt,O, 2010 IS: 8gy L.9::::J?.J2.QJ? .
aty/Mun .p.!:.y.!':.9. _ .
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TQ~'.:.,.J
! No. of Months
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~.~.:-.i.·2·'No.
;.,1 of Years Province _Qb.Y.hQ ~:R.K__._ _ .
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I AM A NATURAL BORN FILIPINO CITIZEN: RoLLED THUMBPRINT
I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN
. COUNTRY.
16 1 AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
e •

17. I WILL SUPPORT AND DEFEND THE CONSTITUTION OFTHEhREPU.SLIC OF THE

PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGlANCE THERETO. I
WILL OBEY THE LAWS, LEGAL ORD.ERS AND DECREES PRO~ULGATED BY THE
DULY CONSTIllJTED AUTHORmES.} IMPOSE THIS OBUGA-mON UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.

I hereby certify that the facts stated herein are tru

ame

, O).TH
SUBSCRIBED AND SWORN to ffefQre me this 24 t Bay of Novejmber, 2009, at·P as i 9 C i.t Yal'fiant· exhibitin-9 to me his/her
CTC/lder1tificatlon Card No. NlS-88-041169 Issued by: LTO • On: II December· 20uo .
Doc. No. ~c
~~ __ -
Page. No. I cr
Book No.1 (Officer Authorized to Administer Oat(l)
Series of 2-0-0-_-.--9

. c:e: %Jiii?9
~ilERWIN N. TUGNA
OTARY PUBLIG
UNTIL DECEMBER 31, 2010
~POINTMENT NO.16'1(2009-20fO)
ROLL NO.5447 t
lOPNO.LRN 06670/RIZAL
PTR NO. 0029S'58/'5-?9·0QfM,iv.f\, n