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IUC;R IIUN AN41

INk-1.:

IN W W I M t

Republic of the Philippines

COMMISSION ON ELECTIONS
Intramuros, Manila

GUIDELINES ON THE FILING OF Sixto S. Brillantes, Jr. Chair& CERTIFICATES OF CANDIDACY Rene V*Sarmiento AND NOMINATION AND Lucenito N. Tagle Comm sioner OFFICIAL Armando r . Velasco ACCEPTANCE OF CANDIDATES OF REGISTERED 'Iias R*Yusoph Christian Robert S. Lim POLITICAL PARTIES OR COALITION OF POLITICAL PARTIES IN CONNECTION WITH THE MAY 1 3 , 2013 AUTOMATED SYNCHRONIZED I NATIONAL, LOCAL AND ARMM REGIONAL ELECTIONS September 11, 2012 x------------------x - - - Promulgated: ---

COmTO

1 RESOLUTION NO. 9518 , _\


O F "

The Commission on Elections, by virtue of tne powers vested in


it by the Constitution, the Omnibus Election Code, and other election

laws, RESOLVED t o promulgate as it hereby promulgates, the following rules and guidelines on the filing of Certificates of Candidacy and Nomination and Acceptance of official candidates of registered connection political with parties or coalition of May 13, 2013 political parties in Synchronized

the

Automated

National, Local and ARMM Regional Elections:


SEC. 1. Certificate of Candidacy. - No person shall be

elected

Senator,

Member

of

the

House .of Representatives,

Provincial, City, Municipal or Regional ARMM officials unless he personally accomplishes a sworn Certificate of Candidacy in the form prescribed b y the Commission (preschbed forms attached). No person shali'be eligible for more than one office to be filled in the same election. I f he files a Certificate o f Candidacy for more
.

'

than one office, he . shall not be eligible, for any ~f them. However, before the expiration of the period for the filing of Certificate of Candidacy, he may file a declaration under oath, the office for which he desires to be eligible and cancel the Certificate of Candidacy for the other office or -office/s, stating the reasons therefor and attaching thereto the consent of the party that nominated him, if
e

any, personally or by his duly authorized representative, with the proper office in accordance with Sec. 3 hereof. SEC. 2. Contents of
Certificate of Candidacy.

- The

Certificate of Candidacy shall be under oath and shall state that the person filing it is announcing his candidacy for the office and constituency stated tjierein; the full hame'of the candidate, that he is eligible for said office; his age; gender; civil status; place and date of birth; his citizenship, whether natural-borri or naturalized; the duly registered political party or coalition of .political parties to which
,

he belongs; if married, the full name of the spouse; his legal residence, giving tho exact address and the number of years he has been residing in the country and whenever applicable, the place where he intends to be elected; the barangay, city or municipality and province where he is a registered voter or will be a registered voter; his post office address for election purposes; his profession or occupation or employment; that he is not a permanent resident or an immigrant to a fo.r.eign country; that he will file, with the offices of the Commissio~, within thirty (30) days after election day, his full, true and itemized Statement of Contributions and Expenditures (SOCE) in connection with the election; that he will support and defend the Constitution of the Republic of the Philippines and will maintain true faith and allegiance thereto; that he will obey the laws, legal orders, decrees, resolutions, rules and regulations without mental promulgated and issued by the duly-constituted authorities; that he assumes the fore'going obligations voluntarily reservation or purpose of evasion; and that the facts stated in the certificate are true and correct to the best of his knowledge.

4'

Unless a candidate has officially changed his name through a court-approved proceeding, a candidate shall use i n his Certificate o f Candidacy t h e n a m e - b y which h e has been baptized o r if he has not been baptized i n any church o r religion, th'e n'ame registered i n t h e Office of t h e Local Civil Registrar, o r any o t h e r name under t h e provisions o f existing law, o r in t h e case 6 f a Muslim, his Hadji name after performing the prescribed religious pilgrimage; Provided, t h a t when there are t w o o r more candidates for a n office with t h e same name and surname, each candidate, upon being made aware of such fact, shall state his paternal and maternal surname, except the incumbent who m a y continue t o use t h e name and surname stated in his Certificate o f Candidacy when h(e wasi elected. The person filing t h e Certificate of Candidacy shall include one nickname o r stage' c a m e b y which he is generally o r popularly known i n t h e locality; Provided; .that no candidate shall use t h e nickname, stage name o r initials of another. I n case o f several nicknames o r stage names, only t h e nickname or stage name first written shall be considered. Titles, such as DON, DATU, DOCTOR, GINOO, o r words o f similar imports shall not be allowed. The person filing a Certificate o f Candidacy shall also affix his latest photograph, passport size; a statement i n duplicate containing his bio-data and program o f government n o t exceeding one hundred (100) words, i f he sb'desires. Documentary stamps in t h e , amount of Fifteen Pesos

(Php15.00) shall be attached t o t h e Certificate o f Candidacy. For purposes o f printing t h e candidate's name i n t h e official ballots, the candidate's surname (in case of a female candidate, her married OR maiden name, whichever she prefers); first name OR
I

4'

nickname; and t h e acronym o f the political party/coalition o f political parties affiliation should not exceed thirty (30) characters. Thus, the person filing a Certificate of Candidacy shall write i n the appropriate spaces provided for i n I t e m No. 4 o f the Certificate o f Candidacy, t h e following data:
.

i.

Last Name (in case o f married OR maiden prefers)

d female candidate, her


name, whichever she

ii.
iii.

First Name OR Nickname Political Party / Coalition o f Political Parties Affiliation (Acronym only)
E

The Certificate o f Candidacy shall be sworn before a Notary Public or any official authorized t o administer oath. COMELEC
officials are n o t authorized t o administer oath. SEC.

3. Where

to

file

Certificate

of

Candidacy.

Depending o n t h e 'elective positions, t h e Certificate o f Candidacy shall be filed i n FIVE (5) LEGIBLE COPIES with t h e offices of the Commission specified hereunder:
ELECTIVE P.O.SITIONS Senator Members o f t h e House of Representatives f o r legislative districts in t h e National Capital Region (NCR) WHERE TO FILE Law Department Regional Election Director, NCR

I ) Members of t h c House o f
Representatives of legislative districts in provinces
"

Supervisor concerned
.

2) Provincial officials

1)

Members o f -the House of Representatives for legislative districts in cities outside the NCR, which comprise one or more legislative districTs

City ~ l e c t i o n Officer concerned designated for the purpose Region, r l Election Director

2) City Officials of cities with more (Copies ~f the designation of

than one Election'Officers

the Election Officer concerned shall immediately be submitted to the Law Department of the Commission)
City/Municipal Election Officer concerned

City/Municipal Officials
4

ARMM Governor and Vice-Governor

I n any of the Offices of the ARMM Regional Election Director ARMM Provincial Election Supervisor concerned
I

Member, Regional Legislative Assembly, ARMM

Any Certificate of Candidacy not filed with the correct offices as


4

enumerated above shall not be accepted. The Certificate of Candidacy shall be filed by the candidate personally or by his duly authorized representative, whose authority shall be in writing, under oath and attached thereto. No Certificate of Candidacy shall be filed or accepted by mail, electronic mail, telegram or facsimile. The filing' of the Certificate of Candidacy of a substitute candidate, .in case of valid substitution, shall be filed in accordance with Sec. 15 hereof. Sample forms c f the Certificate of Candidacy are attached hereto, and are available a t the Comelec offices for free. The forms may be photocopied or reproduced,
. .

or downloaded from the

COMELEC official website (www.come/ec.gov.ph).


,

SEC. 4. Effects of Filing Certificate of Candidacy.

- a) Any

person holding a public appointive office or position, including active members of the Armed Forces of the Philippines, and other officers and employees in government-owned or controlled corporations, shall be considered ips0 facto resigned from his office and mus

vacate the same a t the start of the day of the filing of his Certificate of Candidacy.
b) Any person holding an elective office or position shall not be

considered resigned upon the filing of his Certificate of Candidacy whether for the same or: any other elective office or position. *
SEC. 5. Period for Filing Certificate of Candidacy.

- The

Certificate of Candidacy shall be filed on any day from October 1 , 2 0 1 2 to October 5, 2012, during office hours (8:OO AM to 5:00
PM).

I f at 4:45 o'clock p.m. of Odober' 5, 2012, there are still persons intending t o file Certificates of Candidacy present inside the offices mentioned in Section 3 hereof, the Receiving Officer shall prepare a complete list containing the names of said persons, consecutively numbered, and the time of listing. The persons listed shall be called by announcing' each name in the oi-der in which they are listed. Any person who is not present when his name is called, shall not be allowed t o file his Certificate of Candidacy. A Certificate of Candidacy filed in accordance with this procedure shall be stamped received a t the time it was actually filed, and deemed filed on time.
SEC.

6. Filing

of

Certificate

of

Nomination

and

Acceptance of Official Candidates of a Political Party / Coalition of Political Parties.

- he certificate of Nomination and

Acceptance (CONA) of the official candidates of the duly registered political party or coalition of political parties shall be, in five (5) legible copies, attached t o and filed simultaneously with the Certificate of Candidacy. The CONA shall also be stamped received in the same manner as the Certificate of Candidacy.

k d

The CONA, sample form attached, shall be duly signed and attested t o under oath, either by the Party President, Chairman, Secretary-General or any other duly authorized officer of the nominating party and shall bear the acceptance of the nominee as shown by his signature in the space provided therein. For this purpose, all duly registered'political parties or coalition
, 2012, submit to of political parties shall, not later than October 1

the Law Department, the names and specimen signatures of the authorized signatories of their official party nominations. No duly registered political party or coalition of political parties shall be allowed to nominate more than the number of candidates required to be voted for in a particular elective position; otherwise, in such a situation, all of the nominations shall be denied due course by the Commission.
SEC. 7 . Independent Candidate.

- An independent candidate

is one who falls in any of the following circumstances: a) who has not been nominated by a d l iy registered political party or coalition of political parties or its duly authorized representative;
b) whose CONA has been submitted by a political party or coalition of political parties not duly registered with the Commission;

c) who has not accepted a nomination, or has repudiated his CONA from a duly registered.. political party or coalition of political parties on'or'before December 21, 2012; d) who accepts nominations from more than one duly registered political parties for the same constituency, except in cases of coalitions of said political parties; e) whose CONA was filed after the last dc.y of filing of Certificates of Candidacy; f) whose CONA was not filed together with his Certificate of Candidacy;,

g)whose CONA was cancelled, withdrawn or substituted by the nominating party within the period for the filing of Certificates o f Candidacy; h) whose CONA was denied due course pursuant t o the last paragraph of Sec. 6 hereof.
A candidate who accepts nominations from both national and

local registered political parties shall not be considered as an independent candidate.


SEC. 8. Ministerial Duty of Receiving and Acknowledging

Receipt

of

Certificates

of

Candidacy/Nomination

and

Acceptance; Recording.

- The Rqceiving Officer of the offices

tasked or designated t o receive Certificates of Candidacy/Nomination and Acceptance as provided for in Sec. 3 hereof shall have the ministerial duty t o receive and acknowledge receipt thereof; Provided that the same are filed in conformity with the herein rules and regulations. He shall stamp every copy of each Certificate with the date and actual time of his receipt and affix his signature thereon. The Receiving Officer shall enter in a record book, the following data, leaving no space between entries: a) date and actual time of receipt of the certificates; b) assigned consecutive number thereof; c) full name of the candidate; d) the office for which the candidate is running; e) the political party or coalition of political parties t o which the candidate, belongs and/or which nominated him, i f any; f) the number of copies actually received, g) the name of the duly authorized representative, if the certificate is not filed personally by the candidate; and

h) the name of the Receiving Officer. Without delay, on the last day after' the time allowed for the filing of the Certificates of Candidacy, the Receiving Officer shall
. . a line immediately immediately close the record book by placing

after the last entry and writing the word "closed". He shall then affix * his signature immediately below the word 'closed" and indicate the date and exact time of closing.
SEC. 9. Watchers of Independent Candidates, Political Parties and Accredited Citizens'
I

Arms. - An
I

independent

candidate, political party, accredited citizen's arm may appoint one watcher each in connection with the filing and reception of the Certificates of Candidacy. The watcher, who shall present his appointment as such t o the Receiving Officer, shall be allowed t o stay within the premises of the authorized receiving office and t o take note of the proceedings but without interrupting or disturbing official business. Any watcher m a y report i?' writing t o the Commission any irregularity which may require appropriate action. Watchers shall be entitled, upon written request, t o secure from the Receiving Officer, a copy of the full list of those who filed their certificates of Candidacy and their respective positions for which they intend t~ be elected.
SEC.
10. Reports

of

the

Certificates

of

Candidacy

Received.

- The Head of the Receiving Office shall, not later than

October 6, 2012:

a) print a Certified List of Candidates as entered in the record book, affix his signature thereon and submit it, through any fastest means of communication available, to the Commission, through the Law Department; and b) using the program and the format provided by the Information- Technology Department (ITD), encode

the candidat&st information and save the same i n two (2) compact discs (CDs) which shall be submitted, together with the record book, four (4) copies including the original copy of the Certificates of Candidacy and Nomination and Acceptance, as well as tlie Certified List of Candidates duly signed by him t o the concerned Provircial Election Supervisors and Regional Election Directors.

*
SEC. 11. Preparation of the Certified List of Candidates.

Immediately after the last day for filing of Certificates of Candidacy, the following shall prepare a Certified List of Candidates in five (5) copies:
IMPLEMENTING OFFICE EL,ECTIVEPOSITION

/ Law Department
For NCR : a.) Regional Election Director, NCR;

Senator

a.) Members of the House o f Represen8iatives i n t h e legislative districts in t h e NCR; and

C I

b.) City/Municipal Election Officer concerned; For outside NCR :

b.) City/Municipal Positions in t l i e NCR.

Provincial Election Supervisor concerned;

Members o f t h e House of Representatives for legislative districts and Provincial, City and Municipal

For ARMM : Regional ARMM; Election Director, Governor, Vice-Governor and Members o f t h e Regional Legislative Assembly.

SEC. 12. Delivery o f the Reports on. the Certificates of

Candidacy Received.

- The following officers shall personally

deliver to the offices mentioned in Section 13 hereof, not later than October 10, 2012, the record book, the Certified List of Candidates,

CDs, and copies of the Certificates of Candidacy and Nomination and Acceptance : I) for NCR : a. Regional Election Director - For Member of the House of Representatives in the legislative districts in the NCR; q b. Election Officers concerned municipal positions in the NCR;
2) for outside NCR : Provincial Election Supervisor - For Member of the House of Representatives and provincial, city and municipal positions; '
3) for ARMM :

For city and

Regional Election Director 'for ARMM For Governor, Vice-Governor and Members of the Regional Legislative Assembly.
.
.

SEC. 13. Distribution of the Reports on the Certificates of Candidacy Received.

- The record book,

Certified

List

of

Candidates, CDs, and copies of the Certificates of Candidacy and Nomination and Acceptance shall be distributed to the following offices: A.
.

Law Department - Record Book, Certified List of Candidates, original copy of the Certificates of Candidacy and the original copy of the Certificates of Nomination and Acceptance and one (1) CD.
Election Records and Statistics Department Certified List of Candidates, second copy of the Certificates of Candidacy and the Certificates of Nomination and Acceptance and one (I) CD. Education and Information Department Certified List of Candidates, third copy of the Certificates of Candidacy and the Certificates of Nomination and Acceptance.

6.

C.

4'

D.

Clerk of the Commission - Certified List of Candidates, fourth copy of the Certificates of Candidacy and the Certificates of Nomination and Acceptance.

SEC. 14. Withdrawal of Certificate of Candidacy.

- Any

person who has filed a Certificate o f Candidacy may, a t any time before election day and subject to Sec. 15 hereof, file personally a Statement of Withdrawal under oath, i n five (5) legible copies, with the office where the Certificate of Candidacy was filed. No Statement of Withdrawal shall be accepted if filed' by a per,on other than the candidate himself or i f filed by mail, electronic mail, telegram or facsimile.
I
I

The Regional Election Director, Provincial Election Supervisor, or the Election Officer concerned shall, withdrawal, upon receipt of the notify the Law Department by fastest means of

communication, stating the following: a) full name of the candidate withdrawing; b) elective office concerned;
C)

nominating political party o'r coalition of political parties, if any; and

d)'full name of the substitute, if any

On the same day,

he shall immediately forward t o the

Commission, through the Law Department, four (4) copies of the Statement of Withdrawal, retaining one (1) copy thereof for his file. The Law -Department shall, in turn, distribute the copies to the offices/departments concerned as provided for under Sec. 13 hereof. The filing o f a withdrawal of a Certificate of Csndidacy shall not affect whatever civil, criminal 'or administrative liabilities a candidate may have incurred.

A person who has withdrawn his Certificate of Candidacy for a

position shall not be eligible, whether as a substitute candidate or not, for any other position.
SEC. 1 5 . Substitution of Candidates in case of death,

disqualification or lwithdrawal of another.

- I f after the last day

for the filing of Certificates .of Candidac'y, an official candidate of a duly registered political party or coalition of political parties dies, withdraws or is disqualified for any cause, he maa; be substituted by a candidate belonging to, and nominated by, the same political party. No substitute shall be allowed for any independent candidate. The substitute of a candidate Who hias withdrawn on or before December 21, 2012 may file his Certificate of Candidacy for the office affected not later than December 21, 2012, so that the name of the substitute will be reflected on the official ballots. No substitutioii due to withdrawal shall be allowed after December 21, 2012. The substitute for' a candidate who died o- is disqualified by final judgment, may file his Certificate of Candidacy up to mid-day of election day, provided that the substitute and the substituted have the same surnames. I f the death or disqualification should occur between the day before the electior! and mid-day of election day, the substitute candidate may file his Certificate of Candidacy with any Board of Election Inspectors in the political subdivision where he is a candidate, or in the case of a candidate for Senator, with the Law Department of the Commission on Elections in Manila, provided that the substitute and the substituted candidate have the same

SEC. 16. Effectivity.

- This Resolution shall take effect on the

seventh (7th) day after its publication i n two (2) d j i l y newspapers of general circulation in the Philippines;
SEC. 17. Di~se~nination. - The Education and Information

Department shall cause the

of this Resolution in two (2)

daily newspapers of general circulation in the Philippines and give the same the' widest dissemination possible.
SO ORDERED.

Comm ksioner

CHRISTIAN ROBER S. LIM Commissioner

* +

.. .

-.

Republic

of the Philippines

COMMISSION ON ELECTIONS
Manila

II
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Affix Latest Photo Here


(1-112 x 1-112)

CERTIFICATE OF CANDIDACY FOR


...
l,. i . .

. .~

SENATOR

- - - - - - .- -

INSTRUCTIONS: (Read well before filling u p this form.) 1. File this in FIVE (5) LEGIBLE copies with the COMELEC Office concerned, during regular office hours (8:OO AM t o 5:00 PM ONLY), on any day from October 1 , 2012 t o October 5, 2012.

2. 3.

Attach t o this certificate, the Certificate o f Nomination and Acceptance (CONA), i f any. Titles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bai, Seiiora, Kapitan o r similar titles are expressly

prohibited. are not authorized t o administer oath.

4. This certificate shall be sworn before a notary public or any official authorized t o administer oath. COMELEC officials
I h e r e b y a n n o u n c e m y candidacy f o r t h e p o s i t i o n of SENATOR, Republic of t h e Philippines, in t h e M a y 13, 2 0 1 3 elections; a n d a f t e r h a v i n g b e e n s w o r n to in accordance w i t h law, I h e r e b y s t a t e the following:
1 .NAME :
I.I

Last Name

1.2nrr1~ame

rTT7l-I-rTTT77 I I L L I -LAJ-I-LLL

r ~7i-~r~~~~11-1-1-r ~ ~ 1 1 -1-rr~~~~ I I I i I -LII~-I-LLIJJLLII1~-l-LL~I~ a n a l e OFemale

13. GENDER :

14. AGE :

-1-rTT71-1-1-rTTT?

-I-LLII_I-I-I-LLLI~

1S.DATEOFBIRTH:

2. NICKNAME OR STAGENAME :(Indicate only o w nickname or stage name)


L-I-

Month

Day

Year

r~i-rr~7-1-rr~71-1-rr~~~ -1-rrr~~~i-1 16. PLACE OF BIRTH:


LLI~-I-LLIA-~-LL~~-I-LLII_I_)-I-LLLJ
3. OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination)

CityIMun Province

(Political Pam//Coalltlonof Polltical Parties)

4. NamelWords t o appear on the Ballot n o t t o exceed thirty (30) characters

17. CIVIL STATUS:


Widow/er

Single I-- I---I- I- I- I- I- I- I- I- 1- I- i- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I - r 1- I 1 ~1~1~1~1~1~1~1~1~1~IIIIIIIIIIIIl~l~l~IIl~l~l~l~l~l~l~l~l~ l~l Married


(Last Name, F i n 1 Name a Nickname, Polllbal Party MAlhthm)

5. RESIDENCEIADDRESS :
5.1 province

Fun Name of Spouse, If manled

r ~ i - i - r r ~ ~ 7 i - 1 - r r ~ ~ ~ 7 1 ~
I _ J _ L L L I . l _ IJ-lLLLI1_I-I-l-L
5.3 Baranaav 1 - 1I - I - ~
~

5.2 City/Municipality

OR OCCUPATION: ~ T ~ ~ - I - I - ~ T 18. T PROFESSION T ~

I-i-.

LLI-.~I-I-I-LLLIII-I

1-1-LL1I-I J - I - L L I I -

5.4 House No./ Street / Subdlvision

~ - ~ - - l - ~ r ~ T ~ - l - ~ --~ IT~~~i -- rl ~ - -r-rr-r-i-r~19. L-I._.L..LI_I-I-LLIJ-I-LL 1-LIJ-LLJ-I-L1-I-L.

6. ADDRESS FOR ELECTION PURPOSES: (Could he the same as No.5)

7. PERIOD OF RESIDENCE I N THE PHIUPPINES BEFORE MAY 13,2013:

rl-1
I I I -1

No. of Years
-

r rl I I 1 1 1 -

No. of Months

I*)
I
---

0 IAM A REGISTEREDVOTER OF: 0 IW I U BE REGISTERED VOTER OF:


A

city~nun
~ r ~ ~ h a

8. 1 AM A NATURAL BORN FILIPINO CITIZEN.


9. 1 AM NOT A PERMANENT RESIDENT OF, OR AN IMMIGRANT TO, A FOREIGN COUNTRY. 10.1 AM ELIGIBLE FOR THE OFFICE I SEEK TO BE ELECFEDTO. 1 1 . IWILL FILE, WITH THE OFFICES OF THE COMMISSION, W I N THIRTY (30) DAYS AFTER ELECTION DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDTTURES (SOCE) I N CONNECnON WITH THE ELErnON. 12. IWILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE PHILIPPINES AND WILL MAINTAIN TRUE F A m AND ALLEGIANCE THERO'O. IWILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTITUTED AUTHORITIES. IIMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY, MENTAL RESERVATION PURPOSE OFEVASION. -.-. -- - - - WITHOUT - --- - - -OR -- - - - -- 1 hereby cerhfy that the facts stated herein are true and correct to the best of my knowledge.

I .

....

E
- - - - - - - - - - -. -

Signature d Candldab Over Rlnted Name

SUBSCRIBED AND SWORN t o before me this


Identification Doc. No. Page No. Book No. Series of 2012. documentJcard which contains

-day o f
photograph

OATH

I
at bearing

,2012,
and signature

,affiant
No.
i

his/her

exhibiting to m e his/her issued by

;
;

I
(Officer Authorized t o Administer Oath) (Affix P15.00 docurnentarystamp)

M I S FORM CAN BE F'HOTOCOPlEO OR R E P R O W C E D AN0 I S AVAILABLE AT THE COMELK OFFICES OR MAY BE DOWNLOADED FROM THE COMELEC OFFICIAL WEBSIlE I~m~,tPmek~QW.~41)

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61

R e p u b l i c of t h e P h i l i p p i n e s Manila

CORlMlSSlON ON ELECTIONS f f J ! $ i;
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CERTIFICATE OF CANDIDACY FOR MEMDER, MOUSE OF REPRESENTATIVES

)I
I
(

A Photo f i x ates Here st

(1-112x 1-112)

L-

------

INSTRUCTIONS: (Read well before filling up thls form ) thls In FIVE (5) LEGIBLE copies w ~ t h the COMELEC Office concerned, d u r i n g r e g u l a r o f f l c e h o u r s (8:OO A M t o 5:00 P M 1 F~le ONLY), o n any day from October 1,2012 t o O c t o b e r 5,2012. Attach to this cert~ficate,the Cert~ficate of Nominabon and Acceptance (CONA), l f any. 2 3 T~tlessuch as Dr., Atty., Don, G~noo, Seiior, Datu, Hadji, Sultan, Bai, Senora, Kapitan o r slmilar titles are expressly prohibited. q 4 Thls certificate shall be s w o r n before a notary public o r any offldal authorized t o administer oath. COMELEC o m d a l s a r e n o t authorized t o administer oath. District, I h e r e b y a n n o u n c e m y c a n d i d a c y f o r t h e p o s i t i o n o f MEMBER, HOUSE OF REPRESENTATIES, Province o f in t h e M a y 13, 2013 elections; a n d a f t e r h a v i n g b e e n City o f s w o r n t o in a c c o r d a n c e with l a w , I h e r e b y s t a t e the f o l l o w i n g :

1 . NAME :
1.1 Last Name

~ T ~ - I - I - ~ ~ T T T ~ ~ - ~ - I - ~ ~ T ~ ~ - I - ~ ~ T T T ~
I-I-LLLI11_I-I-LLJ J-LL1I-l-J-I-LLII,

14. AGE :

12FirrtName
3

l-TT7l-I-rrTTT7
I-I-LLIIJA-LLLL

-1-rTT71-1-l-rTTT7
-1-LL1IA.J-1-LLLIA
-I-LLII_LJ-I-LlLII.,

15. DATE OF B I R T H :

~ ~ T T l ? - l ~ ~ T T T 7 ~ - l ~ ~ T T 7 l ~ l - ~ ~ T T T ~
Month Day Year

2. NICKNAME OR STAGENAME : (Indicate or,;y one nickname or stage name)

L-I.-LL1-I-I-LLI_I-I-LL1-I-I-LLII_I
3. OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination)

~T~-l-~TT7-1-rTT7l-I-~~TTl-I-~~TTT71-~
J-I-LLLJ

16. PLACE OF BIRTH:


CityJMun
Pmvlnce

1 4. N a n i e / W o r d s t o appear o n t h e B a l l o t n o t t o exceed thirty (30) characters


(Last Name,

17. C I V I L STATUS:

I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I-'I- I- 1 - I- I- I- I- I- I- I- I- I- r I- I 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ I I I I I I I I I I I I ~ l ~ I I l ~ I ~ l ~ l ~ l ~ l ~ l[7 ~ l Married ~l~l~l~l~l


flrst Name or Ntcknarne, Polltical Party Afflllation) F u n Name of Spoure, If manled
5.1 ~ m v l m

r 7 1 - 1 - r ~ ~ ~ 7 1 - 1 - ~ ~ ~ ~ 7 7 1 I-I-LLLI.l_I-I-I-LLI1
5.3 Barangay 18. PROFESSION OR OCCUPATION:

5.2 City/Municipality

J 1 1 L .

r T - [ - ~ - ~ - r ~ T T ~ l - ~ l-- ~ l-r -T rT ~7~ l-l-rrTTT;


I_.-I-LLI~A-I-I-LLLIII_I
5.4 House No./ Street I Subdivision

I-I-LL1J-I

J-I-LLl-Ld
19.

[ ~ - ' r - l - - r ~ T ~ - l - r r T ~ l -- jl --T 7 - r T T - r T T - l - T T - l
1-I-LLIA-I-LLIA-I-LL..
6. ADDRESS FOR ELECTION PURPOSES: (Ca~lld be the same as No.5)

LI-LI_1-LI_I-l-L1-I-LJ
-

0 I AM A REGISTEREDVOTER OF: 0 I WlLL BE A REGISTEREDVOTER OF:

--

--

7. PERIOD OF RESIDENCE I N THE PHILIPPIIqES BEFORE MAY 13,2013:


7.1 7.2 I n the Philippines:

In the above-stated District/Clty/Province:

EL:

-r I-

NO.

of years

No. of Years

3 EL:

m.of Months
NO.

ofMonth~

8. IAM A NATURAL BORN FILIPINO CITIZEN. 9. IAM NOT A PERMANENT RESIDENT OF, OR AN IMMIGRANTTO, A FOREIGN C O U ~ Y . 10.1 AM ELIGIBLE FOR THE OFFICE ISEEK TO BE ELEUED TO. 1 1 . I WILL FILE, WITH THE OFFICES OF THE COMMISSION, WITHIN THIRTY (30) DAYS AFTER ELECnON DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDKLIRES (SOCE) IN CONNECnON WITH THE ELECTION. 12. IWlLL SUPPORT AND DEFEND THE CONSmLmON OF THE REPUBLIC OFTHE PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. I WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTITUTED AUTHORITIES. IIMPOSE THIS OBLIGATION UPON VOLUNTARILY, WllHOUT MEm LRESERVATION OFEVASION. ..-- -. . -MYSELF .-- - -- - - - -OR - PURPOSE -- --Ihereby certify that the facts stated herein are true and correct to the best of my knowledge.

--

--

Signature of Candidate Over Printed Name OATH , 2012, at day of SUBSCRIBED AND SWORN to before me thls Identification document/card which contain5 his/her photograph and signature bearing

, affiant exhibiting to m e histher


No.
issued by

Doc. No. , Page No. Book No. Series of 2012.

; ;
;

(Officer Authorized to Administer Oath) (Afflx P15.00 documentary stamp)

1 5 FORM CAN BE PHOTOCOPIEO OR REPRODUCEDAN0 IS AVAILABLE AT THE COMELK OFFICES OR M A Y BE DOWNLOADED FROM THE COMELEC OFFICIAL WEBSITE (~-~~01~!ecgl)v,Dh)

9,8112

R e p u b l i c o f the P l i i l i p p i n e s

COMMISSION ON ELECTIONS
Manila

CERTIFICATE OF CANDIDACY FOR MEMBER,


REGIONAL LEGISLATIVE ASSEMBLY

I
I

I I I

I
Affix
Latest Photo Here

I
I I I I
I

- - - - - - -- .

[NSTRUCTIONS: (Read well before tilling up this form.) I. File this in FIVE (5) LEGIBLE c o p i e s with the COMELEC Office concerned, during r e g u l a r o f f i c e h o u r s (8:OO A M to 500 P M , 2012 t o October 5 , 2012. ONLY), 6 n any day from O c t o b e r 1 Attach to this certificate, the Certificate of Nomination and Acceptance (CONA), If any. 2. 3. Titles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bal, Seiiora, Kapitan o r similar titles are expressly e prohibited. 4. This certificate shall be s w o r n befcre a notary publlc o r a n y official authorized to administer oath. COMELEC oMcials are n o t authorized t o admlnlster oath. I h e r e b y a n n o u n c e m y candidacy f o r t h e p o s i t i o n o f MEMBER, REGIONAL LEGIS&4FASSEMBLK District, Province o f ,A u t o n o m o u s R e g i o n in M u s l i m Mindanao, in the M a y 13, 2 0 1 3 elections; and a f t e r h a v i n g b e e n s w o r n t o in accordance with law, I h e r e b y s t a t e t h e following:

1 . NAME :
1.1 Lan Name

13. GENDER :

14. AGE :

1.2nrst~ame

fT 7 ~ l ~ l ~ ~ ~ T T 7 1 1 ~ ~ ~ l , ~ T T T 7 1 ~ l ~ l ~ T T T 1 1 I-I-LLLIAA J-!-LLI_I-LLL~J_I-I-LLII~ Obiale OFemale rTT71-1-rTTT17 -1-rTT7l-I-l-rTTT~ -1-LLII J J-1-LLLIL 15,DATEOFBIRTH:


Month

2. NICKNAME OR STAGENAME :(Indicate only one nickname or stage name)

Day

---Year
T l l ~ l ~ T T ~ T

1 - I L L L I

J-I-LLI_1-I-LLl-I-I-LL11_1

J - I - L L I J

16. PLACE O F BIRTH:


Cih//Mun

3. OFFICIALLY NOMINATED BY: (Attach Cwtificate of Nomination)


.

Province

4. N a m e / W o r d s t o a p p e a r on t h e B a l l o t not t o e x c e e d thirty (30) characters

17. C I V I L STATUS:

I7
(Lan Name, R m Name w Nuname,
PalitJcal Party ARlliallon)

Widowler

Married Full Named Spouse, il manied

18. PROFESSION OR OCCUPATION: rTll-I-TTTTTl-I-~TT' 1-1-~~T~~-I-I-TTTT? 1-1-I-L I I 1 I I I I 111~1 l-l-LLL~.l~l-l-LL~L~


5.4 House No./ Street I Subdivision

~ T - I - ~ T T T - ~ - ~ - T , T T - ~ -~ -~ - r ~ - r ~ ~ - r r ~ - ~ - r - r - ~ L L IL _ IJ L IL _ IL L IL I - L L J - L I J-I-L1-I--L_r [7 IAM A REGlmRED VOTER OF:

6. ADDRESS FOR E L E C n O N PURPOSES: (Could be the same as No.5)

w I u BE A REGImRED v o m OF:

7 . PERIOD OF RESIDENCE I N THE P H I L I P P I N E S BEFORE M A Y 13,2013:


7.1 7.2

I n the Philippines:

+-

In th;

above-stated District:

I :

.NO.

of ~ & r s

NO. of years

r -T :No. or Months

CI :

CItylMun

NO.of Months

'

pmvlr~e

8. IAM A NATURAL BORN FILIPINO CITIZEN. 9. IAM NOT A PERMANENT RESIDENT OF, OR AN IMMIGRANT TO, A FOREIGNCOUNIRY. 10.1 AM ELIGIBLE FOR THE OFFICE ISEEK TO BE ELECTED TO. 1 1 . I WILL FILE, WlTH M E OFFICES OF THE COMMISSION, W H I N THIRTY (30) DAYS AFTER ELECnON
DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITLIRES (SOCE) I N CONNECnON WITH THE ELECTION. 12. I WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE PHILIPPINESAND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. IWILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY C O N M D AUMORmES. I IMPOSE THIS OBLIGATION .- - UEoN F?YSECF_1I(1CUNTARIE~YKH_O_VLMME_W!!L_REIERvA_T_rO_r? O_RRPURWISE_OF-NAsEN, -- Ihereby certify that the facts stated herein are true and correct to the best of my knowledge.

No.

-- - --

C I
-

SUBSCRIBED A N D SWORN t o before m e this Identification documenVcard whlch conlalns hlslher Doc No. ; Page No. Book No.

signature of Candidate Over Printed Name OATH , 2012, a t day of photograph a n d ' signature bearinq

,affiant exhlbltlng t o me hislher


issued

by

;
---- - ----

(Office~Au~orged~o

krenerof20L
L/

+AfflxPfS;BB

d m u m e ~ a m p ) ~ ~ ~ ~

- --

FORM CAN BE PHOTOCOPI EDOR REPROMKED AND 15 AVNUBLE AT THE COMELK OFFICES R ElAY BE DOWFILOADED FROM THE COMELEC OFFICIAL WEBSITE ~ w ~ Q I*) ~ P T

918112

,,@@ ,,

Republic o f the Philippines

E;Wss,o*
,.I?.-

ON ~

a m x Latest Photo

;
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\ . : , , ,

.K$,;,

_ - .. .

, : : ,.
~ . ! ! C

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. , ! $

4 ,,,9 p '

Y)

CERTIFICATE OF CANDIDACY FOR PROVINCIAL GOVERNOR

I I ( I
L

Here

(1-112 x 1-112)

- - - - - --

:NSTRUCTIONS:

1.
2.

3.
4.

(Read well before filling up this form.) . . File this in FIVE (5) LEGIBLE copies with the COMELEC Office concerned, during regular office hours (ROO AM t o 5:00 PM ONLY), on any day from October 1,2012 t o October 5,2012. Attach to this certificate, the Certificate of Nomination and Acceptance (CONA), If any. Titles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bai, Seiiora, Kapitan or similar titles are expressly prohibited. q This certificate shall be w o r n before a notary public o r any official authorized t o administer oath. COMELEC officials are not authorized t o adminlster oath.

I h e r e b y a n n o u n c e m y candidacy f o r t h e p o s i t i o n o f PROVINCIAL GOVERNOR, Province of i n t h e M a y 13, 2 0 1 3 elections; a n d a f t e r h a v i n g b e e n s w o r n to i n accordance w i t h law, I h e r e b y s t a t e t h e following:

11 . . NAME .. .. . .- : .
1.1 Last Name

l
1-

14. AGE :

1.2 First Name

1 1 -

L A '

rrrrl
1-1-1Year

2. NICKNAME OR STAGENAME :(Indicate only one nickname or stage name)

Month

Day

L-I-LLI_I-I-LLI_~-I,LL~-~-I-LLII_~_~-I-LLLJ
3. OFFICIALLY NOMINATED BY: (Attach Cerliiicate of Mnnation) ,

~ T T - ~ ~ T ~ - I - ~ ~ T ~ T - I - ~ ~ T T ~ - I - ~ ~ ~ T T T T - I
16. PLACE OF BIRTH:

Prwlnce
(Political Party/toallUonof Political Parties)

4. NameIWords t o appear o n t h e Ballot n o t t o exceed thirty (30) characters

17. C I V I L STATUS:

1-1-1-1-1-1-1-1-1-1-1-1-l-l-.1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1
(Lasl Name. F l e t Name or Nickname, Polltkal PaW AfRliaW)

5. RESIDENCE/ADDRESS :
5.1 pmv~nce

I FUN Name d ~pouss,~fmarried ~ ~ ~ - I - ~ ~ T T ~ ~ - I - ~ T T T T ~ ~ - I

5.2 City/Municipalily

1-1-LLIII J I L L L 1 1 _ I I I I . L i
5.3 Barangay
I

rTT7-I-rTTTT7-I-Prrl I-.I-.LLII~-I-I-LLLIII_I
5.4 House No./ Street I Subdivision

I-I-rl-T~-i-I-I-rTTT~
I-I-LLIIJ.J-I-LLLI,

18. PROFESSION OR OCCUPATION:

I-~-I-~TT~-I-~-~-T-~ - ~ ~- -r I- -~ - r ~ - ~ - r r ~ - i - r - r - ~ 19. I -I-. 1.- . I - L A - I - L L I A - I - L L ~-L~~-LJ-_[-I-L~-ILJ

6. ADDRESS FOR ELECTION PURPOSES: (Could be the same as No.5)

[7

1AM A REGISTEREDV O T E RO F :
I WILL BE A REGlSTERED VOTER OF:

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013:


7.1

I n the Philippines: I n the above-stated Province:

7.2
8.

rT
- - - I

3 NO. of Years 1
NO.

of years

--J

<
?

No. of Months
NO.

of Months

Pro*

1A MA NATURAL BORN NATURALIZED FILIPINO CITIZEN. M NOT A PERMANENT RESIDENT OF. O R AN IMMIGRANT TO.. A FOREIGN COUNTRY. 9. 1 A 10. I AM ELIGIBLE FOR THE OFFICE IS E E ~ T O BE ELECTED TO. 1 1 . IWILL FILE, WITH THE OFFICES OF THE COMMISSION, WllHIN THIRTY (30) DAYS AFTER ELECTION DAY. M Y FULL. TRUE AND ITEMIZED STATEMENT OF CONTRIBUllONS AND EXPENDrrURES (SOCEI , IN CON~\~ECTIONWITH ELECTION. 12. IWILL SUPPORT AND DEFEND THE CONSmUTiON OF THE REPUBLIC OF THE PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. IWILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTITUTED AUTHORKIES. I IMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY. WITHOUT MENTAL RESERVATION O R PURPOSE OF EVASION.

THE

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

Signatureof Candidate Over Printed Name SUBSCRIBED AND SWORN to before me this Identification document/card which contains hisfher

-day of

OATH

I
, affiant exhlblting to me hisfher
No. issued by

, 2012, at
and signature bearing

photograph

;No. . Doc. Page No. ; Book No. Series of 2012.

(Officer Authorized to Administer Oath) (Affix P15.00documentary stamp)


9,811

of the Philippines

~ O ~ ~ ~ M I S ION ON ELECTIONS

II
I
(

Affix Latest Photo Here

CERTIFICATE OF CANDIDACY FOR


PROVINCIAL VICE-GOVERNOR

(1-112 x 1-112)

I
L

--- - - - - -

'NSTRUCTIONS: (Read well before filling up this form.) 1. File this in FIVE (5) LEGIBLE copies with the COMELEC Office concerned, during regular office hours (8:00 AM t o 5:00 PM ONLY), o n any day from October 1,2012 t o October 5 , 2012. 2. Attach to this certificate, the Certificate of Nomination and Acceptance (CONA), if any. 3. T~tiessuch as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bai, Sefiora, Kapitan o r similar Htles are expressly prohibited. + 4 . This certificate shall be sworn before a notary public o r any official authorized t o administer oath. COMELEC offidals are not authorized to administer oath. I hereby announce m y candidacy f o r the position o f PROVINCIAL VICE-GOVERNOK Province o f in t h e May 13,2013 elections; a n d after having been sworn t o in accordance w i t h law, I hereby state t h e following:

I
14. AGE:

1 .NAME :
,lL,st,me

13. GENDER :

I-I-LLL~~~_~-I-LLJ_I-LLLI~_I-I-LLII!
i j ~ d d k ~ a r n

r ~ ~ ~ - ~ - r r ~ T ~ i - ~ - ~ - ~ - r r T ~ ~ - ~ - r r r T ~ DMaIe Ornate

TTTTl-l-l-rTTT7~-l-TTT7l?-l-rrTT
I-1-LLII JA-I-LLI
-I-LLIIJ,I-I-LILII~

j rr-

2 . NICKNAME OR STAGENAME :(Indicate only one nickname w stage name)

,AL
Month

rrrrl - lJ-~ - 1-1-1-1-1


rT7
Day Year

I.

~ T - I - ~ ~ T T - I - ~ ~ T ~ ~ - I - ~ ~ T . T I - I - I - ~ ~ T T ~ ~ - I
L_I-LLI_I-I-LLI-L-I-LLl-l-I-LLII-1_1-1-LLI_r 16. PLACE OF BIRTH:
City/Mun Provlnce (Political Pam//Coalitionof Political Parties)

3. OFFICIALLY NOMINATED BY: (Attach Certificateof Nomination)

4. NameJWords t o appear o n t h e Ballot n o t t o exceed t h i r t y (30)characters

17. C I V I L STATUS:

l..'-l~~.I--I-I-I-I-I-I-I-I-l-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-rrI-I
l ~ . . 1 ~ . 1 . . ~ 1 ~ 1 ~ 1 ~ 1 ~ I I l ~ l ~ l ~ l ~ I I I ~ l ~ I I I I l ~ l ~ l ~ l ~ Married l~l~l~l~l~l~l~l~l~l
(Last Name, First Name a Nickname, Pdltkai Pa*
Affiliation)

5. RESIDENCEfADDRESS :
5.1 Province

Full Name of Spause, Ifma&d

r71-1-r~~~71-1-r~~~711-1
I-I-LLLI1_l-I-l-LLI1_I-1~1-Li
5.3 Baranoav

5.2 CityIMunicipality

rT-]l-l-r]-TT~-l-l-rr~l
I--ILLLII
I

I A II I II IL

OR OCCUPATION: I - I - ~ ~ T ~ ~ - I - I - ~ T18. T PROFESSION T ~

I-I-LLJ-JJJ-I-LLIJ-A

5.4 House No./ Sbeet / Subdivision

[' 1 - - l - r P T 7 - I - l - r T 7 1 - 1 I-I-LLIA-I-LLI-I-I-LL
~p

L-I-LL
C :
J

- i - T 7 - r T 7 - r T 7 - - I - T T - l

J-LLJ-I-LA-I-LA

---

6. ADDRESS FOR ELECTION PURPOSES: (Could be the same a's NO.~)

0 IAM A REGISTERED VOTER OF:


IWILL BE A REGI5EREDVOTER OF:
Baran)aY

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY

13,2013:

7.1
7.2

~n the Philippines: I n the above-stated Province:

NO.

of years

8. IAM A

NATURAL BORN ) NATURALIZED FILIPINO CITIZEN. 9. 1 AM NOT A PERMANENT RESIDENT OF, OR AN IMMIGRANT TO, A FOREIGN COUNTRY. 10.IAM ELIGIBLE FOR THE OFFICE ISEEK TO BE ELErlTED TO. 11. IWILL FILE, WITH THE OFFICES OF M E COMMISSION, WITHIN THIRTY (30) DAYS AFTER ELECTION DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITURES (SOCE) I N CONNECilON WITH THE ELECTION. 12. IWILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. 1 WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSmUTED AUTHORTnES. I IMPOSE THIS OBLIGATION llPON MYSELF VOLIINTARILY. WTTHOlrr MENTAL RESERVATION O R PIIRPOSE OF EVASION.

r T7 , -T - - 7 NO. or years r --

NO.

or Months
s

Clhl/MUl
Pmvlnce

NO. an ... . or . .~ . .. .- m .-

Thumbprint

Signature of Candidate Over Printed Name

No.
issued

SUBSCRIBED AND SWORN t o before me thls Identification document/card which contains hislher

-day of
photograph

OATH
'

I
, affiant exhibiting t o m e hlsjher
by

'

, 2012, at
bearing

and

signature

Doc. ;No. . Page No. 2 Book No. ; Series of 2012. (Affix P15.00 documentary stamp) THIS FORM CAN BE PHOTOCOPI EDOR REPRODUCED AND I S AVAllABLE A T THE COMELEC OFF ICES

(Officer Authorized t o

id

OR tI'Y I DOWNLOADED FROM WE COt4ElEC OFFICIAL W E S I T E

~!~~Iv:wIW-.W#!!)

9'8.12

,..+$&,ti oh tr6

Republic of the Philippines

I
. .

i:
li

7 ;.rr

'"MM""""
$!;'..
..

ON """ONS

., :

Manila

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127

, S Y

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7+,,, ?LC

MEMBER, SANGGUNTANG PANLALAWIGAN

CERTIFICATE OF CANDIDACY FOR

I I I I
I I

I
Affix Latest
Photo (1-112

Here
1-1/21

I
I I

L-------

[NSTRUCTIONS: (Read well before filling up this form.) 8 : O O A M t o 900 P M 1. File this in FIVE (5) LEGIBLE copies with the COMELEC Office concerned, d u r i n g regular o f f i c e h o u r s ( ONLY), on any day from October 1,2012 t o October 5, 2012. 2 . Attach to this certificate, the Certificate of Nomination and Acceptance (CONA), if any., 3. Titles such as Dr., Atty., Don, Ginoo, Sefior, Datu, Hadji, Sultan, Bai, Sefiora, Kapitan o r similar titles are expressly prohibited. This certificate shall be sworn before a notary public o r any official authorized t o administer oath. COMELEC officials are n o t 4. authorized t o administer oath.

District, Ih e r e b y announce my candidacy f o r t h e p o s i t t o n o f M E M B E R , SANGGUNIANG PANLALAWIGAN, ,in t h e M a y 13, 2013 elections; a n d a f t e r having, b e e n s w o r n t o in accordance with law, I Province o f h e r e b y s t a t e t h e following:

1 . NAME :

,,,,

rT-rl-t-rri-l--l

12FirsIName

rTTTl-I-TTTTTT
I-I-LLII_I_I-LLLL

I-I-LLII11_I-I-LLJ

ii-~-~-rr~~i-~-rrr~~?
-I-TTTTl-I-I-rTTT1
-1-LLIIAA-I-LLLI,
J-LLII.A_I-I-LLIL,

Male

OFetnaIe

15. DATE OF B I R T H :

rrTTl-l-TrTTT7]-rrTT?l-I-TrTTT~
- 1 - L L I I I J,I-LLLIA
Month Day Year

2. NICKNAME O R STAGENAME : (Indicate only one nickname or stage name)

~ T - I - ~ T T ~ - I - ~ ~ T ~ ~ - I - ~ T T T T - I - ~ ~ T T T ~ ~ - ~
L_l--LL1 J - I - L L I ~ - I - L L ~ _ I - I - L L I I A
3. OFFICIALLY NOMINATED BY: (Attach CwtiRcate of Nomination)

1-1-LLL-1

16. PLACE OF BIRTH:


City/Mun Provlnce

(Political Party/Coalltion of Political Parties)

I
C] Widowler

1 4. N a m e / W o r d s t o a p p e a r o n t h e B a l l o t n o t t o exceed thirty (30)characters


(Last Name, Flrst Name c# Nickname, FmLfIwl Patty AIRilatlon)

17. C N I L STATUS:
Single

1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ I ~ l ~ I I I I I ~ I I l ~ I I I ~ I ~ l ~ Married l~l~l~l~l~l~l~l~l~l
-

5. RESIDENCEIADDRESS :
5.1 ~mvlnce

Full Name of Spause, if m a d

5.2 City/Municipality

I-I-LLIIJ._)-I-I-LLI1 5.3 Barangay

rT~-I-rTTTll-I-rrTT711-1
J-I-l-Lj

rT-~-~-l-r~TTqi-l-rrrl I-I-~~-T~-I-I-~TT-~-~ 1 1 L . L L 1 . A I I Ll . L L L A ~ I-I-LLIJALJ-I-LLLL~


5.4 House No./ Street Subdivision

~ ~ ~ ~ ~ ~ - r ~ ~ - [ - ~ - ~ - ~ T ~ - ~ - j - [ - l - T 7 ~ F T T - ~ T T - l - T T - l
19. -.I-.I-..LIA-I-LLI-I-I-LLL~-L~_~-LLJ-I-L~-I-LJ 0 IAM A REGMEREDVOTER OF: 6. ADDRESS FOR ELECTION PURPOSES: (Could be the same as No.5)

I WILL B E A REGISTEREDV O T E R OF:

7 . PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013:


7.1

I n the Philippines: I n the above-stated District:

1
9.

7.2

8. 1 AM A

0 NATURAL BORN 0 NATURALIZED FILIPINO CITIZEN.

r -l : r r --- :

NO. or Years
NO.

of years

j N ~ol . Months r T 7 N ~or . Months


- - J

1 AM NOT A PERMANENT RESIDENT OF. OR AN IMMIGRANT TO. . A FOREIGN COUNTRY.

10.IAM ELIGIBLE FOR THE OFFICE ISEEK'TO BE ELECTED TO. 1 1 . 1 WILL FILE, WITH THE OFFICES OF THE COMMISSION, WITHIN THIRTY (30) DAYS AFTER ELECTION

----------------------------------Ihereby certify that the facts stated herein are h e anu correct to the best of my knowledge.

DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITURES (SOCE) IN CONNECTION W m THE ELECTION. 12.1 WlLL SUPPORT AND DEFEND THE CONSTIlJTION OF THE REWBLIC OF THE PHILIPPINES AND WlLL MAINTAIN TRUE FArrH AND ALLEGIANCE THERETO. IWlLL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTITUTED AUTHORmES. IIMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.

Signature of Candidate Over Printed Name

SUBSCRIBED AND SWORN to before me thls Identification document/card which contains histher

-day of
photograph

OATH

I
, affiant exhibiting t o me histher
No. issued by

, 2012,
and signature

at bearing

; No. . Doc. Page No. Book No. ; Series of 2012. (Affix P15.00 documentary stamp) T I 1 1 5 FORM CAN BE P H O T O C O P I E DO RR E P R O W C E DAND IS AVAllABLE AT THE COMELEC O F F I C E S & . ,d 7 l I l b Y BC D G W N L . O A O E DFROM THE COEIELEC OFFICIAL WEBSITE (y.~~.c0?!elet,gQ~.yll)

(Officer Authorized to Administer Oath)

9r&12

R e p u b l i c o f the P h i l i p p i n e s

1
1
Affix Latest
Photo Here

COMMISSION ON ELECTIONS
Manila

,
I

CERTIFICATE OF CANDIDACY FOR MAYOR

I I I

I I (1-112 x 1-112) 1 I 1 L -- - - - -

[NSTRUCTIONS: (Read well before filing up this form.) 1. File this in FIVE (5) LEGIBLE copies with the COMELEC Offlce concerned, during regular office hours (8:OO AM t o 5:00 PM ONLY), on any day from October 1,2012 t o October 5,2012. 2 . Attach to this certificate, the Certificate of Nomination and Acceptance (CONA), if any. 3. Titles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bal, Sefiora, Kapitan or similar tines are expressly prohibited. 1 4. This certificate shall be sworn before a notary public o r any official authorized t o a~',ainisteroath. COMELEC officials are not authorized t o administer oath.

Iliereby announce my cand~dacy f o r t h e posltlon o f MA^, City/Mun~ctpalltyo f ,Provlnce ,i n t h e May 13, 2013 elections; a n d after having been s w o r n t o i n accordance w i t h law, Ihereby of state t h e following:
1 . NAME :
,,,L ,a ,l,.l

113. GENDER :

1 1 4 . : . . AGE .- - .
-

~ T ~ ~ l ~ l ~ ~ T T T l l l ~ l ~ l ~ ~ T T T l ~ l ~ ~ ~ T T l

I-I-LILIIII-I-LLJ-I-LLIIIJ-I-LLLI! OMaie
rTTT7-I-rrTTT~7 T l l l l T T
I-I-LLII_I_I-1-I_.LL

UFernaIe

1.2nrrt~rame
13tTa*~am

l T T l l l l T -I-LLI1_LJt-I_LLLI2

2 . NICKNAME OR STAGENAME :(Indicate only one nickname or stage name)


1.-1-.L.LI

L -I l- I
Month Day
r

rr7

r r r r l -I-I- I I
Year

~ l ~ ' ~ ~ l ~ ~ ~ T T 7 ~ l ~ ~ ~ T T l ~ l ~ ~ T T l l ~ l ~ ~ ~

J - ~ - L L I _ I - I - L L ~ ~ - I - L L ~ I _ ~ ~ - I - L L L A 16. PLACE OF BIRTH:

3 .OFFICIALLY NOMINATED B E (Attach Certificateof Nomination)

CilytMun Province

I
Widowter

(Political Partv/Coalitionof Political Parties)

'

4. Name/Words t o appear o n t h e Ballot n o t t o exceed t h i r t y (30)characters

17. C I V I L STATUS:

I_I_I-I-I-,_I-I_I_I_I-l_I-

1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ I I l ~ l ~ I ~ I ~ l Married ~ I ~ I ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~
(Last Name, First Name or Nickname, PaYHcai Party AhYffilslion)

I I I 1 I I I I I

-- ---

Single I-I-I-I-I-I-rl-I

5. RESIDENCEIADDRESS :
5.1 PmvlnCe

Fun Name of Spouse, If married

~ ~ ~ - I - ~ ~ T T T ~ - I - ~ ~ T T T ~ T - I
I-I-LLLIIA-I-l-LL11_1-1-I-L1
5.3 Barangay

5.2 C~ty/Municipalii-y

r T - 1- l - l - r T T T T l - l - l - r T l
I I
i

L I 1 I I 1 Ll I I

5.4 House No./ Street / Subdivision

LJII ILI-LLI~_I_J-I-LLL~_~
I
[7
&rangay

I-I-rTTT1-I-I-TTTT?

18. PROFESSION OR OCCUPATION:

lAM A REGISEREDV O T E R OF:

6.ADDRESS FOR ELECnON PURPOSES: (Could be the same as No.5)

0 I WILL BE A REGISERED VOTER OF:


.

1
1
1

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE HAY 13,2011:


7.1

I n the Philippines: I n the above-stated City/Municipality:


.

-r T < NO. of years r T :

I
I

7.2

I.

'

NO. O ,

Months
M ~ ~ S

No. of Years

I- T ?

NO.

of M

-.

'

l o . IAM ELIGIBLE H)R THE OFFICE ISEEK'TO BE ELECTEDTO. 1 1 . IWILL FILE, WITH THE OFFICES OF M E COMMISSION, WITHIN THIRM (30) DAYS AFTER ELEC'3N DAY. MY FULL. TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITURES (SOCCI , IN CQNNECT~ONW~TH%~E ELECflON. 12.1 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 B Y THE DULY CONSTITUTED AIITHORlTlES. IIMPOSE THIS OBLIGATION R PURPOSE OF EVASION. UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION O

I
Thumbprint

I-'---

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

.--------------------------------L------------...

.
Signature of Candidate Over Printed Name

I
, afflant exhibiting to me histher
No.
issued by

SUBSCRIBED AND SWORN to before me this Identification document/card which contains histher Doc. No. Page No. Book NO. Series of 2012.
;

-day of
photograph

OATH

and

, 2012, at signature bearing

;
;

(Affix P15.00 documentary stamp)


9:8 I2

THIS FORM CAN BE PHOTOCOPIED OR R E P R O D U C E DAND IS AVAIIABLE AT THE COMELEC OFFICES OR I I A Y BE DOWNLOADED FROEI THE COElELEC OFFICIAL WEBSITE (W!.CG@?46.gOv.i,ll)

1.

,!aI
. ~ ~ ? . ~ ~ ' Republic ~"s of the Philippines

C O M M S l O N ON "-"'IONS

I
I I
Affix Latest Photo Here
(1-112 x 1-1/21

;:!P
L2'

! :

;;';

.j.~.

"

Manila

i I1

\ .

-[.

.. .

.,,(~??,

,y

CERTIFICATE OF CANDIDACY FOR


VICE-MAYOR

1I I
L

I
l

:NSTRUCTIONS: (Read well before filling up this form.) 1. File this In FIVE (5) LEGIBLE copies with the COMELEC Office concerned, during regular office hours (8:OO AM t o 5:00 PM , 2012. ONLY), on any day from October 1,2012 t o October 5 2. Attach to this certificate, the Certificate of Nomination and Acceptance (CONA), if any. 3. Titles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bai, Seiiora, Kapitan or simllar titles are expressly q pmhlblted. 4. This certificate shall be sworn before a notary public or any official authorized t o administer oath. COMELEC officials are n o t authorized t o administer oath.

Ihereby announce m y c a n d ~ d a c y f o r t h e posrtlon of V ,i n t h e May 13,2013 elections; a n d a f t e r having been s w o r n t o i n accordance w i t h law, I Province o f hereby state t h e following:
1 . NAME :

v
13. GENDER : Elale Female
14. AGE :

15. DATE OF BIRTH :

rrrn
2. NICKNAME OR STAGENAME :(Indicate only one nickname or stage name) Month J - I - L L L A Day

1-1-

Year

11-1

r ~ - 1 - r r ~ 7 - 1 - r r ~ 7 i - 1 - r r ~ ~ ~ - 1 - r r r ~ ~ ~ i - l
L_I--LLIJ-I-LLI_L-I-I-Ll_1-I-LLII-1
3. OFFICIALLY NOMINATED BY: (Attach Certificateof Nomination)

16. PLACE OF BIRTH:

4. Name/Words t o appear o n t h e Ballot n o t t o exceed t h i r t y (30) characters

17. CIVIL STATUS:

Single Widowler I-- I- I- I- I- I- I- I- I- I- I- I- I- I-r I- I 1 ~ 1 ~ . 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ l ~ I I I ~ I I I ~ l ~ I ~ I ~ I I l ~ I Married ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l

I-' I- I- I- I- I- I- 1- I- I- I- I- I- I-

(Last Name. F l m Name a Nickname, PoliIkal Party Affiliatkm)

5. RESIDENCE/ADDRESS :
5.1 Province

Fun Name of Spouse,if married

5.2 City/Muninpality

I_I-LLL.I~~-I-I-LL~~_~-I-~-LI
,

r 7 1 - 1 - ~ ~ ~ ~ 7 1 - 1 - r ~ ~ ~ 7 1 1 - 1
,

5.4 House No./ Street / Subdivision

l - ~ - ~ ~ - ~ - r ~ T ~ - l - r-~ ~T -~ ~~ i- rl --r ~ - r r - r - i - r - r - l l-i-LL1-I-i-LLI_L-i-LL 1-LL_l-LL_I-I-L1-I-LJ

16. ADDRESS FOR ELECTION PURPOSE9 (Could be the same as No.5)

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013:


7.1

I n the Philippines: I n the above-stated City/Munlcipallty:

7.2

rT :
--a

r:

No. of Years
NO.

NO. of Months

of years

rT 7
--J

NO.

Months . -.

8. 1AM A NATURAL BORN NATURALIZED FILIPINO CITIZEN. M NOT A PERMANENT RESIDENT OF, O R AN 1I.lMIGRANT TO, A FOREIGN COUNTRY. 9. 1 A 10. IAM ELIGIBLE FOR THE OFFICE ISEEK TO BE ELECTEDTO. 1 1 . IWlLL FILE, WITH THE OFFICES O F M E COMMISSION, WITHIN THIRTY (30) DAYS AFTER ELECnON DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITURES (SOCE) IN CONNECTION WITH THE ELECTION. 12. IWlLL SUPPORT AND DEFEND THE CONSTITUTIOY OF THE REPUBLIC OF THEPHIUPPINES AND WlLL MAINTAIN TRUE FAITH AND ALLEGIANCE MERETO. I WlLL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED B Y THE DULY CONSTITUTED AUTHORITIES. I IMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION O R PURPOSE OF EVASION.
Ihereby certiv that the facts stated herein are true and correct to the best of my knowledge.

Thumbprint

Signature of Candidate Over Printed Name SUBSCRIBED AND SWORN to before me this Identification document/card which contains his/her Doc. No. . Page No. Book No. Series of 2012.

-day of
photograph

OAM

I
, affiant exhibiting to me his/her
No. Issued by

, 2012, at
and signature bearing

; ; ;
(Affix P15.00 documentaw stamp)

(Officer Authorized to Administer Oath)

. "B

THIS FORM CAN BE PHOTOCOPIED OR REPROWCEO AND 15 AVAILABLE AT THE COMELEC OFFICES wnl. BE DDWIILOADEO FROM THE COMELEC OFTICIAL WEBSITE ( ~ w r l r , r ~ ~ r w . ' ~ v . p i ~ )

WR

9'8 12

II .
CERTIFICATE OF CANDIDACY FOR
MEMBER, SANGGUNIANG PANLUNGSOD
.

PiRix Latest Photo Here (1-112 x 1-112)

/
I i

I I

. I

L --

- - - -- . I

[NSTRUCTIONS: (Read well before filling up this form.) 1. File this in FIVE (5) LEGIBLE copies with the COMELEC Office concerned, d u r i n g regular offlce hours (8:OO AM to 5:00 PM ONLY), on any day from October 1,2012 t o October 5,2012. 2 . Attach to this certificate, the Certificate of Nornlnation and Acceptance (CONA), if any. 3. litles such as Dr., Atty., Don, Ginoo, SeAar, Datu, Hadji, Sultan, Bai, Seiiora, Kapitan o r similar titles are expressly prohibited. e 4. This certificate shall be sworn before a notary public o r any official authorized t o administer oath. COMELEC omclals are not authorized t o administer oath. District, Ihereby announce my candidacy f o r t h e position o f M E M B E R , SANGGUNIANG PANLUNGSOD, ,P r o v i n c e o f . , in t h e M a y 13, 2013 elections; a n d a f t e r having been City of . . . hereby s t a t e t h e following: s w o r n t o in accordance with law, I 1 . NAME :
1. I ~ a sName l

113.GENDER :

114.AGE :

1.3.,k~am

rrTT1-I-TTTTTT 1-1-LLII JJ-I-LLL

-l-TTTll-l-l-rTTT~ -1-LL1I.l J-1-LLII, c

L L -

2. NICKNAME OR STAGENAME : (Indicate only one nickname or stage name)

Month

LA-' Day

I I a r l

~T~l-rTT7-1-r~T7l-I-~~TTl-I-I-~~TTTl~~
L-I-LL~_~-I-LLIA-I-LL~_]-~-LLIIA_I-I-LLLJ 3.OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination) 16.PLACE OF BIRTH:

(Polltlcal Party/Coalitionof Political Parties) 4. N a m e I W o r d s t o appear o n t h e Ballot n o t t o exceed t h i r t y (30) characters

1
I-r II

11. C N R STATUS:

I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I(Last Name, First Name a Nickname, Polilia1 Party Affillah)

17

single

Widowler

1~.1~1~1~1~1~1~1~1~IIl~IIIII~III~l~IIl~I~l~l~ l ~Married l~l~l~l~l~l~l~~ C]


5. RESIDENCE/ADDRESS :
5.1 province 5.2 C~ty/Municipality
5.3 Barangay

Full Named W s e ,If manied

~ ~ 1 ~ 1 ~ ~ ~ ~ ~ 7 1 ~ I ~ l ~ . I . ~ J ~ l ~ I 1 ~ 1 ~ l ~ L L I 1 J ~ l ~ ~ 1 ~ L i
I

~ - T ~ ~ - l - r ~ ~ - T ~l -~ l-r -rl T - r~ ~ --~ r -~ ~- r~ rTT-i


1.-I-LLIJ_I
J I

LI I

5.4 House No./ Street / Subdivision

IIJA

18. PROFESSION OR OCCUPATION:

I - I - L L ~ ~ ~ J - I - L L L ~ L
r ~ - l

~ - ~ - l - ~ - ~ ~ - ~ - ~ - -~ l ~ - ~~ ~ ~- r - ~~ ~ - - l r ~ r -- r ~ - ~ I . L I - L L I J-I-LLIJ-I-LL 1-LLJ-LLA-I-L1-I-LJ

19.

6. ADDRESS FOR ELECTION PURPOSES: (Could be the same as No.5)

0 IAM A REClmRED VOTER OF: 0 1 WILL BE A REGlSTEREDVOTER OF:


Barangay

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013:

7.1
7.2

I n the Philippines: I n the above-stated DistriWClty:

r1 3

r -I- : NO. of years rr

NO.

of years

C1 :

utyl~un

NO.of Months
N ~ . Months

--

10. I AM EUGIBLE FOR THE OFFICE ISEEK TO BE ELECTED TO. 11. IWILL FILE, WITH THE OFFICES OF THE COF?MISSION, WITHIN THIRTY (30) DAYS AFTER ELECTION DAY, MY FULL, TRUE AND ITEMIZED STATEMEF!T OF CONTRIBUTIONS AND EXPENDTTURES (SOCE) IN CONNECTION WnH THE ELECTION. 12.1 WILL SUPPORT AND DEFEND THE CONSTllUllON OF THE REPUBLIC OF THE PHILIPPINES AND WlLL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. IWlLL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTITWED AUTHORITIES. I IMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY, WITHOUT MENTP.L RESERVATION OR PURPOSE OF EVASION.

. .

Ihereby certify that the facts stated herein are true and correct to the best of my knowledge.
Signature of Candidate Over Prlnted Name

-----

OATH SUBSCRIBED AND SWORN to before me this Identification docurnent/card which contains hls/her Doc. No. Page No. Book No. Series of 2012. day of photograph and

II
issued by

, 2012, at signature bearing

, affiant exhibiting to me hisfher


No.

; ; ;
(Affix P15.00 documentary stamp)

(Officer Authorlzed to Administer Oath)

T 1 FOHtl CAN BE PHOTOCOPIED OR REPRODUCED A N 0 IS AVBll PBLE AT THE COMEIEC OFFICES 1l.Y kE MW14LOADED FRO14 THE COl4El EC OFFICIAL WEESITE ( w c ' y w l e ->It)

9.3 1)

...

R e p ~ ~ b lof i ct h e P l l i l i p p i n e s

COMMISSION ON ELECTIONS
Manila
\?

., r,,s. .--.

CERTIFICATE OF CANDIDACY FOR MEMBER, SANGGUNIANG BAYAN_

1 I
I I
L--_

Affix Latest Photo Here


(1-112 x 1-1/21

I 1 I
I
~'

NTTRUCnONS: (Read well before fiillng up this form.) with the COMELEC Office concerned, d u r i n g r e g u l a r office h o u r s (8:OO A M t o 5:00 P M 1. File this in FIVE (51 LEGIBLE c o ~ i e s ONLY), on any d a i f r o m 0ctobe; 1,2012 t o O c t o b e r 5,2012. 2. Attach to this cert~ficate,the Cerbflcate of Nominatlon and Acceptance (CONA), ~fany. 3. Tltles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bal, SeAora, Kapitan o r similar tltles are expressly prohibited. q 4. This certificate shall be s w o r n before a notary public o r any official authorized t o administer aath. COMELEC officials are n o t authorized t o admlnlster oath.
I hereby a n n o u n c e my candidacy f o r t h e p 3 s i t i o n o f M E M B E R , SANGGUNIANG BAYAN, District, M u n i c i p a l i t y in t h e M a y 13, 2013 elections; a n d a f t e r h a v i n g been s w o r n t o i n , P r o v i n c e of of h e r e b y s t a t e t h e following: accordance w i t h law, I

1. NAME :
l.lLarName 1.2FinIName

13. GENDER :

14. AGE :

I 1 LLL ~ ~ ~ ~ - I - L L ~ J - L L ~ ~ A ~ - ~ -O L I _ ! m a lL e IUFemale

rT7l-l-r~~T711-I-I-rTT71-1-rrTT7-

13mad.~ame

rTT7i-I-rrrTTl I-I-LLII_L_I-I_LLL TTTTl-1-1-TTTTT


I-I-LLIIJJ-I-LLI

7-1-rTTT1-I-I-TTTT; 1

-1-rTT71-1-l-rrTT~
-1-LL1I-I-I-I-LLLI,
-I-LLII_L_I,I-LLII_I
15.DATEOFBIRTH:

rT7
,A J
Month

2. NICKNAME OR STAGENAME : (Indicate or~iy one nickname or stage name)

rT, rrrrl - l _ I - ~- I---I I


Day Year

L-I-LLIA-I-LLI_L-I-LL~A-I-LLII_I_I-I-LLLJ

r ~ i - r r ~ 7 - 1 - r r ~ 7 ~ - 1 - r r ~ ~ i - 1 -16. r PLACE rr~ ~7i-l OF BIRTH:

3. OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination)

I
I-r II

( City/Mun
Province 17. C I V I L STATUS: Single Widowler

(Political Party/Coalitionof Poiltlcal Partles) 4. N a m e I W o r d s t o a p p e a r o n t h e B a l l o t n o t t o exceed t h i r t y (30) characters

I-- I- 1'1-I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I- I(Last Name, nrst Name or Nickname, mit!al Party Aff'Nakn)

1 p ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ I I l ~ I ~ I ~ I I I I I l ~ l ~ I ~ I ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l Married
Full Named Spouse. if married

r ~T - I
I-I-LLI
I. I L L _ II L L A II L L

I
I IJ

I 1

I I 1 I-I-LLII_lJ-I-LLII_l

I-I-~TT~?-I-I-~TTT;

18. PROFESSION O R OCCUPATION:

5.4 House No./ Sfreet / Subdivision

~ - ~ ~ - - ~ - ~ ~ T ~ - I - I -- l T -~ -~ T -~ r~~ - ~ - r-- r - r - r - ~ - r -

L1-LIJ-LL.l-I-L1-I-L.
r 1 NO. of years -r r:
--a

19.

6. ADDRESS FOR ELECTION PURPOSES: (Csuld be the same as No.5)

0
0

I A MA

REGISTEREDVOTER OF:

IW l U B E A REGISTERED VOTER OF:

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013:


7.1 7.2

I n the Philippines: I n the above-stated DistricVMunicipality:

NO.

OF ~onths

NO.

of Years

8. 1 AM A NATURAL BORN NATURALIZED FILIPINO CITIZEN. 9. 1 AM NOT A PERMANENT RESIDENT OF. OR AN IMMIGRANT TO. . A FOREIGN COUNTRY. 10.IAM ELIGIBLE FOR THE OFFICE I SEE~TO BE ELECTED TO. 11. IWILL FILE. WITH THE OFFICES OF THE COMMISSION. WITHIN THIRTY (30) DAYS AFER ELECnON DAY.-MY FULL. TRUE AND ITEMIZED STATEMENT OF CONTR~BUTIONS AND EXPENDIWRES (SOCE) -, , IN 1 CONNECTION WITHTHE ELECTION. 12. IWlLL SUPPORT AND DEFEND THE CON9lTUTIO:J OF M E REPUBLIC OF THE PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. IWILL OBEY THE LAWS, LEGAL ORDERS-AND DECREES PROMULGATED BY THE DULY CONSTITUTED AUTHORITIES. I IMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.
.

r - -7
-1

NO. of M ~ ~ ~ , , ~

I
----------Thumbprint

1 hereby certify that the facts stated herein are h e and correct to the best of my knowledge.

Signature of Candidate Over Printed Name . OATH SUBSCRIBED A N D SWORN to before me this day of , 2012, at Identification docurnent/card which contains hislher photograph and signature bearing on

I
, affiant exhibiting
No.

to me hlsfher
issued by

Doc. No.

Page No. Book NO. Series of 2012.

; ;
;

(Officer Authorized to Administer Oath), (Affix P15.00 documentary stamp)

I
Republic o f the Philippines

COMMISSIONON ELECTIONS

I
I

nmx latest
Photo Hen
(1-112 x 1-112)

CERTIFICATE OF CANDIDACY FOR


REGIONAI, GOVERNOR

I
I I
L

i
I

- - - - - - - -a

NSTRUCTIONS: (Read well before fillinq uD this form.) 1. File this in FIVE (5) LEGIBLE copieswith the COMELEC Office concerned, during regular office h s u r s (8:OO AM t o 3 0 0 PM ONLY), on any day from October 1 , 2012 t o October 5,2012. of Nomlnatlon and Acceptance (CONA), If any. 2. Attach to this certificate, the Certif~cate Titles such as Dr., Atty., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bal, Sefiora, Kapltan or simllar titles are expressly ) . 3. prohibited. 4. This certificate shall be sworn before a notary p ~ i b l i c or any official authorded t o administer oath. COMELEC officials are not authorized t o administer oath.

I hereby announce m y candidacy f o r t h e position o f REGIONAL GOVERNOR Autonomous Region in Muslim Mindanao, i n t h e hereby state t h e following: May 13,2013 elections; and after having been s w o r n t o i n accordance w i t h law, I 1 .. NAME ! -. -.. . .- .
I.1 Last Name

13. GENDER :

I-I-LLL111_I-I-LLJ-I-LLII_L_I-I-LLIIJ
TTT1-l-I-TTTTTT -I-rTTTl-I-I-TTTT?
-1-LLIIJ-I-I-LLII,

0 0
Male Month

Female

14. AGE :

1.2FirstName

15. DATE OF BIRTH :

1.3MmleName

2. NICKNAME OR STAGENAME :(Indicate only one nlckname or stage name)

r r T ~ i i - r r r ~ ~ ~ ~ - ~ - r T T ~ ~ - ~ - r r ~ T ~ ; rrrr-I I-I-LLIA_IA-I-LLL_~-I-LLII_I J-I-LI,~~; - l l l l l


Day Year

16. PLACE OF BIRTH: L-I-LLI-~-~-LLI_~-I-LL~_]-I-LLII-I~-I-LLLJ


3. OFFICIALLY NOMINATED B

l ~ ~ ~ l ~ ~ ~ T T l ~ l ~ ~ ~ T l 7 ~ l ~ ~ ~ T l l ~ l ~ l ~ ~ T T T l
E (Attach CertiIUe of Nomination)
(Polltical Party/Coalltlonof Political Parties) 17. C M L STATUS:

1
t

CitylMvn Provlnce

4. NameIWords t o appear o n t h e Ballot n o t t o exceed t h i r t y (30) characters

Single Widow/er I-I-I-I-I-I-I-I-r I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-r 1-1


(Last Nam, Flnt Name or N m m e ,

1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ 1 ~ I I l ~ l ~ l ~ I ~ I ~ I I I ~ l ~ I I l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ l ~ ~
Pollt%al Party Affillalian) 5. RESIDENCEIADDRESS : 5.1~rovlnce
5.2 City/Municipality

Full Named Spwre, U manled

I ~ - . L - . I - L ~ ~ ~ - I - ~ - L L ~ ~ ~ - ~ - - ~ - L J
5.3 Barangay

~ ~ ~ - I - ~ T T T ~ ~ - I - ~ T T T ~ ~ ~ - I
18. PROFESSION OR OCCUPATION:

r-T-7 -.]-rrTTTTl-I-rrr1 l-l-rTT7l-l-l-rTTT~. I 1 1 1 I I 1 I I 1 1 1 L I J ~ I---I-LLII_IJ-I-LLII,


5.4 House No./ Street / Subdivision

r ~ - ~ - r ~ ~ ~ - ~ - ~ --~~ - rT ~ -~ r~ - -~ r --r r ~ -T - --l - r - r - , L-.i.-LLI-1-I-LLI_1-I-LL 1-LL_l-LLJ-I-L1-I-LJ

19.

6. ADDRESS FOR ELECTION PURPOSES: (Could be the same as No.5)

a
r-3 rT l
No. or Months
NO.

I AM A REGISERE0 V O T E R OF:

I WlLL BE A REGISTERED VOTER OF:

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013: 7.1

I n the Philippines: I n the above-stated Region:

7.2

r lt NO. of Years -r T l NO. of Years


'

or ~ ~ n t h ~

THE OFFICE IS E E ~ T O BE ELECTEDTO. 11. I WlLL FILE, WITH THE OFFICES OF THE COF?MISSION, WITHIN THIRTY (30) DAYS AFER ELECTION DAY, MY FULL, TRUE AND ITEMIZED STATEMEF!T OF CONTRIBUTIONS AND EXPENDITURES (SOCE) I?1 CONNEtnON WITH THE ELECTION. 12. IWILL SUPPORT AND DEFEND THE CONSrmmON OF THE REPUBLIC OF THE PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. IWILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTIMED AUTHORnlES. I IMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION O R PURPOSE OF NASION. - . .- .- - - -- -- - - -- - -. - - 1hereby certify that the fa& stated herein are true and correct to the best of my knowledge.

10.I AM ELIGIBLEFOR

- - -

--- --

- - --

Signature of Candidate Over Printed Name

SUBSCRIBED AND SWORN to before me this Identification document/card which contains histher Doc. No . Page No Book No. Ser~es of 2012.

-day of
photograph

OATH and

, 2012, at signature bearing

I.
, affiant exhibiting to me histher
No. issued by (Officer Authorized to Administer Oath)

; ;
;

(Affix P15.00 documentary stamp)

THI ORkl CAN BE PHOTOCOPIED OR R E P R O M E O AND IS AVPll PBLE AT 1 H E COME1FT OFFICES &!lay 6E CDVIIILOADED FROM THE CiWIELEC OFFICIAL WE6S1TE ( % \ u ~Qnlele% Wv I#!)

e,;b'coii2i%

Republic Manila

of the P h i l i p p i n e s

$ . @ ! <>
.
;

,~,

.(

..

- . -: ;..,G.<.
t
:..
r+!<.

COMMISSION ON ELECTIONS

,+$'

=v

CERTIFICATE OF CANDIDACY FOR


REGIONAL VICE-GOVERNOR

I I I
II

Affix Latest Photo Here


(1-112 x 1-112)

II I

;
I
l

NSTRUCTIONS: (Read well before filling up this form.) 1. File this in FIVE (5) LEGIBLE copies with the COMELEC Office concerned, d u r i n g r e g u l a r o f f l c e h o u r s (8:OO A M t o 5:00 P M ONLY), on any day from October 1,2012 t o O c t o b e r 5,2012. 2 . Attach t o this certificate, the Certificate of omi in at ion and Acceptance (CONA), if any. 3. Titles such as Dr., AtQ., Don, Ginoo, Seiior, Datu, Hadji, Sultan, Bal, Sefiora, Kapitan o r similar titles are expressly prohibited. 1 This certificate shall be s w o r n before a notary public o r a n y official authorized t o administer oath. COMELEC officials are n o t 4. authorized t o administer oath.

--

I h e r e b y announce m y candidacy f o r t h e p o s i t i o n of REGIONAL VICE-GOVERNOR, A u t o n o m o u s R e g i o n in M u s l i m Mindanao, i n t h e M a y 13, 2 0 1 3 elections; a n d a f t e r h a v i n g b e e n s w o r n t o in accordance w i t h law, I h e r e b y s t a t e t h e following:

1 . NAME :

13. GENDER:

1 14. AGE:
I

0
1 . 3

Male

n F d e

r~T T T l - I - I - r ~ T T l ] - I - ~ T T 7 1 1 - l - T T T T I-I-LLII JJ-I-LLL -1-LLllI_d-I-LLII,

15. DATE OF B I R T H :

I-I I
year

2. NICKNAME OR STAGENAME : (Indicate only one nickname w stage name)

Month

Day

r ~ i - r r ~ 7 - I - r r ~ l i - I - r r ~ ~ i - I -16. r PLACE r r OF r BIRTH: ~~i-I


L-I-LLI_I-I-LLIl-I-LLl-I-I-LLII_1
3. OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination)

J-I-LLIJ

CityIMun Province

(PoliticalPalty/Coalitionof Polkical Parties) 4. N a m e I W o r d s t o a p p e a r o n t h e B a l l o t n o t t o exceed thirty (30) characters 17. C M L STATUS:

I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I

1~.1~.1~1~1~1~1~1~1~I~IIIIIII~IIl~l~I~IIl~l~l~l~l~ l~l~l~l~l~l~l Harried


(Last Name, F i m Name of Niname, PdiWal Party AfliliaGon)
Full Name of Spwse, ifmarried

I-I-LLII_I-I-I-LLIIII_I
5.4 House No./ Street / Subdivision
L-I-LLIJ-I-LLIA-I-LL
-~
~~

I - I - ~ ~ T ~ ~ - I - I - T T T T 18. ; PROFESSION OR OCCUPATION:


I-I-L.l-J-J.-l,J-I-LLIIJ

I--) - - l - - r ~ T 7 - l - r r ~ ~ - l - l - l - T - - r - r ~ ~ - r - r - T - ~ - r i
-

LI - L I J-LL.J-I-L1-I-LJ
r T -j
-.NO.

19.

6. ADDRESS FOR ELECTION PURPOSES: (Could be the same as No.5)

0 0

I AM A

REGISERE0 VOTER OF:

I WILL BE A REGlmRED VOTER OF:

7. PERIOD OF RESIDENCE I N THE PHILIPPINES BEFORE MAY 13,2013:


7.1

I n the Philippines: I n the above-stated Region:

of years

NO.

7.2

C 1

NO.of years

I ]

of m n t h s ~ ~ t h ~

N ~ of . ~

8. IAM A NATURAL BORN FILIPINO CITIZEN.


9. IAM NOT A PERMANENT RESIDENT OF, OR AN IMMIGRANTTO, A FOREIGN COUNTRY. 10. I AM ELIGIBLE FOR THE OFFICE ISEEK TO BE ELECTED TO. 1 1 . IWlLL FILE, WITH THE OFFICES OF THE COMMISSION, WITHIN THIRTY (30) DAYS AFTER ELECnON DAY, MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITURES (SOCE) IN CONNECllON WITH M E ELECTION. 12.1 WlLL SUPPORT AND DEFEND THE CONSrrnmON OF THE REPUBLIC OF THE PHILIPPINES AND WlLL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. IWILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY C O N S T M D AUTHORITIES. I IMPOSE THIS OBUGATlON UPON MYSELF VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.

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

- -- -- - - - -

---

--

- -- - - - - - -

Signature of Candidate Over Printed Name


OATH

SUBSCRIBED AND SWORN to before me this -day o f Identification documenVcard whlch contains his/her photograph

and

, 2012, a t signature bearing

,affiant exhibiting t o me hislher


No. issued by

. . DOC.NO. * ; Page No. ; Book No. ; Series of 2012. (Affix P15.00 documentary stamp) 1 II? FORM CAI4 BE PHOTOCOPIEOOR R E P R O W C E O AN0 I S AVAILABLE AT THE COMELEC OFFICES
j/(iR 11: 1. R t DOWIILOLDEDFKOI.1 TllE COllELEC OFFICIAL WCASITE '~?Yfl!.Coill?li

(Officer Authorized t o Administer Oath)


9'3 12

gvi.pl0

(Logo) (Name of Political Party) (Address) (contact No., Fax No.! E-mail Add)

REPUBLIC OF THE PHILIPPINES)


)
S.S.

CERTIFICATE OF NOMINATION AND ACCEPTANCE


By virtue of the powers and authority vested in me by the Constitution and By-Laws of
(Name of Political Party)

, 1,'the
(Position in the Political Party)

and duly

authorized signatony for and in behalf of the party, hereby nominate:


I
I

(Name of Nominee) (Address of Nominee)

as the party's official candidate in the May 13, 2013 Automated Synchronized National, Local and ARMM Regional Elections for the position of in the I ,Province of ,Philippines.
(District/ Municipality/CiCy)

(Signature ofAuthorized Party Signatory Above Printed Name)


I

SUBSCRIBED AND SWORN to before me this - day 2012 at , affiant exhibiting to me his valid identification document/card which contains his photograph and1signaturebearing No. issued by on
. .

Notary Public Doc. No.:Page No.: Book No. Series of 2012.


J

ACCEPTANCE

I hereby volhtarily accept the foregoing nomination.

(Name and Signature of Nominee)

. (Date ofAcceptance)

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