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Repubiic of the Philippines .

COMMISSION ON ELECTlONS~~
COMMISSION ON ELECTIONS l.AW DEPARTMENT. ~
Monila

CERTIFICATE OF'C
SENAT
INSTRUCTIONS: (Read well before filling up this form.) . . BY: ..~, .
. 1. Ale this In .FIVE (5) LEGIBLE copies. . . . .. .
2. File this certificate of candidacy with the law Department, COMElEC Main Office,' Intramuros, Manila, startlng November 20,2009 .up to
midnight of November 30, 2009. .' ." . . . . .
3. Attach to this cerrmcete the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
certificate of nomination shall be accepted. .. . .
,4 •. Titles such as 'Dr., Atty., Don, Glnoo, Sef\or, Datu, Hadjl, Sultan, Bal, Senora, Kapitan or similar titles are expressly prohibited. .
5. This certificate shall be sworn before a notary public or arryofflcia! authorized to administer oath. COMELEC offidals ate not authonzed to·

administer oath. jij!~ii'iiiiiiilij.iii

11,' MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as No.9) 12. I AMA REGISTERED VQTER OF

J!.d2(..M.MP.<SJ~ .§J~~Y:J~.Q$~~.N ..l..!::-.tPA ..~·JJJ......... Precinct ·l·?\~t!5B·A·1J····~······


13. MY PERIOD OF RESIOENCE IN THE PHIUPPINES BEFORE MAY 10, 2010 IS: Bgy .. r~L ~ .
'···r·" . r····,'··"· Clty/Mun kJPA C-..l:Ti .
P....
_ i-, A-:t.. J! No. of Months 4
....
j_ i.I'P
..·.J1 No. of Years .
Province ~""TA-N
~r::..
oQ _ <0 ~A -e _ :.
14. I AM A NATURAL BORN FILIPINO CITIZEN . , ", 'ItOLU;O irtUiMBPRINT .
• I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREiGN
, ' ~'

COUNTRY.
u,>. I AM EUGIBLf: FOR·THE.OFFICE I SEEK TO BE ELECTED TO.
:'-7. I WILL SUPPORT AND' DEFEND THE CONSTTIUTlON OF THE REPUBLIC OF THE
. PHIUPPINES AND WILL MAINTAiN TRUE FAITH .AND ALLEGIANCE THERETO. I
WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE

....
;.;;~::;;:~~:;;~~~~~~:::s:.
DULY CONSTITUTED AUTHORmES. I IMPOSE THIS OBLIGATION UPON MYSELF

, Sl na' a
~"'.m'p;:' .

r< 0 .,
.SUBSCRIBED AND SWORN to before me thl.Jr·'~-/day of November, 2009, at LrPA, C tIY-, afFlant exhibitl~g to me his/lier
crc/~A~~~~:!/rfrd1~O.TT04I.{qy,t:~IS ued y: PFA - M4NlLA On :;.ivLy 12/ 2q?0 . .
Doc. No. : I J q; .
Page No. 1,31 ,
Book No.. .-=-~:r::.=- _
Series of 200.9. (Affix documentary stamp)

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