CERTIFICATE OF CANDIDACY

I hereby declare my candidacy for the position of

____________________________ of the PSU Faculty Union for the CY 2020- 2022.

Last Name

First Name

Middle Name

Present Address

College

Department

Gender

Age

Contact Number

I hereby certify that the facts stated herein are true and correct to the best of my
knowledge.

_____________________________________________
SIGNATURE OF CANDIDATE OVER PRINTED NAME

Received by:
_____________________________________________
PROF. HAROLD PEN᷉ACERRADA
Chairman, PSU – FU COMELEC