Department of Legal Management JUNIOR BEDAN LAW CIRCLE San Beda College

Print Latest Photo Here ( 1.25x1.25)

Certificate of Candidacy for JBLC Treasurer

INSTRUCTION (Read well before filling up this form) 1. File personally or through your authorize representative, in THREE (3) LEGIBLE copies with the Legal Management Office, during regular working hours starting January 16, 2012 to February 15, 2012. If filed through a representative an authorization letter shall be presented. 2. Your certificate of Candidacy will not be accepted if you are not a bonfire student of San Beda College enrolled in the Legal Management program and has an annual GPA of at least 2.5. 3. This certificate does not necessarily express your litigate candidacy, the official list of candidate will be known on the 20th day of February 2012. 4. Title such as 'Dr., Atty., Don, Datu, Hadji, Sultan, Bai, Seor/a, Kapitan or similar titles are expressly prohibited. 5. This certificate shall be attached with your latest registration form and certified copy of grades.

I hereby announce my candidacy for the position of President of the Junior Bedan Law Circle of the Department of Legal Management, College of Arts and Sciences, San Beda College on March 1, 2012; and after having been sworn to in accordance with the organization's constitution and bylaws, I hereby state the following: 1. MY NAME IS: 1.1 1.2 1.3 Last Name First Name Middle Name D D / 2. I AM GENERALLY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENEME: (Indicate only one nickname or stagename) 5. MY PLACE OF BIRTH IS: City/Mun: 7. MY ADDRESS IS: 7.3 7.5 City/Mun: House No./ Street/ Subdivision Regular 8. 9. 10. 11. MY E-MAIL ADDRESS IS: MY LANDLINE NUMBER IS: MY CELLNUM IS: + 6 3 Irregular Under Probation Working Student 7.1 Province: Province: 7.4 Brgy: 6. MY SCHOLASTIC STATUS IS: M M / Y Y Y Y 3. MY GENDER IS: Male Female

4. MY DATE OF BIRTH IS

I AM A LEGAL UNDER THE LEGAL MANAGEMENT PROGRAM FOR:

No of Year No of Month No. of Days 12. I will enroll on the same program for the next academic year or unit I have successfully finish my term. 13. I am a enrolled under the legal management program of San Beda College for the academic year 20112012 14. I posses all the qualifications and none or the disqualifications for the position I seek to be elected 15. I was not or will not be an official candidate of any other organization accredited by the Student of Prefect Affairs. 16. I am not an officer nor will be an officer of any other organization accredited by the Office of the Student Affairs. 17. I am not a member of a fraternity or sorority 18. I will support and defend the constitution along with the rules and regulations stated in the student handbook of the College of Arts and Sciences, San Beda College; will maintain true and faithful allegiance thereto . Will obey all rules and regulations promulgated within the campus. I impose this obligation upon myself voluntarily, without mental reservation or purpose of evasion. 19. I recognize the authority of the election officer not to accept my Certificate of Candidacy, or disqualify me as official candidate to the upcoming election because I have not met the qualifications set prior to this election. I hereby certify that the facts stated herein are true and correct of my own personal knowledge. ___________________________________________________ SIGNATURE OF CANDIDATE ABOVE PRINTED NAME

ROLLED THUMB PRINT

Right Thumbprint