You are on page 1of 1

Republic of the Philippines

COMMISSION ON ELECTIONS
Manila

CERTIFICATE OF C~B1. _

PRESIDENT '
INSlRUCnONS: (Readwell before filling up this form.)
1. File this in FIVE(5) LEGIBlEcopies.
2. File this certificate of candidacy with the Law Department, COMELEC Main Office, Intramuros, Manila, starting November 20, 2009 up to
midnight of November30, 2009.
3. Attach to this certificate 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,Senor, Datu, Hadji, Sultan, Bal, Senora,Kapitanor similar titles are e>q>ressly
prohibired.
5. This certificate shall be sworn before a notary public or any official authorized to administer oath. COMELEC officials are not authorized to
adminl<teroath. -
----------------------- ----------------- -------
I hereby announce my candidacy for the position of PRESIDENT, Republic of the PhilipPines, in the May 10, ~OlQ
elections; and after having been sworn to in accordance with law, hereby state the following:

1. MY, NAME IS : 3. MY GENDER IS : 4. MYAGEIS:

1.1 Last Name


G' ~O':R":'i:i:'O:'f('~" ., , :.. r"~" '," ., ," ,.' '," ." ..:. '; .. ;.. ';'",'" ~Male Female 64

1,2 First Name


:'i:'
~R C:·~'R:.~' -~-' p'...':"':'
- ~ ~ - - :.
.... '. - -'. - - - . .' .. -' - -
';":"!";"
- - - -'. -- - -
,' '. - - .'. - - - - .
. -
.:... ;,.. : .. ; .. ':" ';" ';' .': .. :.. ; .. ';"':
. .' . -- -', - : . : - .'. .'.. '. . : .. : . - ,'. '.. : . S. MY DATE OF BIRTH IS :

:6-:' a:-: 0:5:_[ 1:' 's."~':5


~ ~
... .' .. -' ... '... .. ...' ...' .. - .. - . : - - - - ..' - - - - . - - ', .. - - -' - -
.' -', .- " - - . ; . - .' - - -' - - -', - - ~- - . , .• !. ' •• ---'---'---',.-

1.3 Middle Name Month Day Veer

6. MY PLACE OF BIRTH IS :
2. I AM GENERALLY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME
Clty/Mun CASTILLEJOS
'oleate only one nicknameor stagename)
p';I' ':'cje :/'0;' 'r:''2' i": 'G:'C;-'~'p"o' i';--~.'~
..
';"
.;'.
':":"
.~.
--:"', Province
-----
ZAMBALES
_--------------'.'--

~------~'---~,c-.-.~'--.-,'-'--.'.,-..~'-.-.'~'-.~:.-.-:-
..__'._.._'._.~.,_._.~,._.~,._._,~'-._,.,_-._:
__ ~~_-~-._ ..--.--.-'----',-'-.'-.'-'-'--'-:-.~.'_+8.MYClvtLSTATUSIS:
7. I AM OFFICIALLY
BAGUMBAYAN-VOLUNTEERS
NOMINATED BY: (Attach CertifICate of Nomination)
FOR A NEW PHILIPPINES
o Single 0 Widow/e:

!Kl Married 0 LegallySeparated


9. MY RESIDENCEI
ADDRESS IS :
9.1 Province
~.. ~. - .: ... '. - - '... ; .. : . - ,' ...' .. -' ... ~.. ; . - .' ...' ... '.. - ~. - : - .
o Annulled / Divorced

O'i--;O·:·N·:G~·i:·p:..o.. ·;c:·i~·T>i:..·'..·: ~
9.2 City/Municipality 9.~ ~r,ang~y .. , .. ,. "," ',' .. ," ..... , ..•... ," ',' . ',' "", Full Name of Spouse, if married
;A;S;T; r ~ ~ ;1;N;A: c ~KA r•..
••..•.•.
H.;;;_E
•.•.
R•.•
I••
N.E
••.•.•.
H•••..••••
G••
O••
RD~O.N__
•• ..••
: .. , ••• ' .•. '••• ! .• : •.. ' ... '... '".: .. __ ,.'.,.' ... ' .. ,' ... ' '... : .. .' ... ' ...•.. ,' .. : ... ' .• , _ •. '.,.: .. :.,:. 10. MY PROFESSION OR
~,4t,io'!5.~.~~:!~!Su~iv5i.on .., ". '," '," '," ., , .. ',' __,"'," , .. '," .,...• '., .. , .. , .. '," '," ',", OCCUPATION IS:
:48 :G ; A: L: L; A G HER: : S : T; R E; E"Ii ; , , ' : : ' , : ' ,.LAWYER..!.
.SENATOR _
11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as No.9) 12. I AM A REGISTERED'VOTER OF

Precinct 0J.55A
........... - _- -.-_ _ - .. _ __ _ .. ---_._ -_._--_ .. _ . -----_ .. _---------------_.-.- .. -
Bgy EAST
--_.--.
TAPINAC ..... _---
__ ._ .... _-._-_._
• '. MY PERIOD OF RESIDENCE IN THE PHIUPPINES BEFORE MAY 10, 2010 IS :
City/Mun OLONGAPO CITY
.. -_ . _ _
:0 ;9: No. of Month. No. 01 Years
Province ZAMBALES
, '

14. I AM A NATURALBORN FIUPINO CITIZEN. : D THUMBPRINT

15. I AM NOT A PERMANENTRESIDENT OF, OR IMMIGRANTTO, A FOREIGN


COUNTRY.
iff
16. I AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
17.'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 BY THE
DULY CONSTITUTED AUTHORITIES. I IMPOSE TH GATION UPON MYSELF
VOLUNTARILY,WITHOUT MENTALRESERVATIONOR P OF EVASION.
. L Thumbprint

I hereby certify that the facts stated herein a~'true a ;2ni~~~; ~"'·-~w-·;-~-,~-,,-, -,~-.... ' .•......

. GORDON

~TH •
SUBSCRIBED AND SWORN to before me this L+ day Of~, 2009, at ~.t"l:O\I1 G:~ant extubitlng to me hisfher
CTCII""''''''''' ca", No.WO 161845 Issued bv: DFA-Mani~ 1 2007
~~ ~q ~
PageNo. 1.-1 K 0
Book No. \ (Officer Aut~t!aJAilminlster Oath)
, 0 f 200 ~·l
Senes '" - .......LA.ffi v
d.= In"1.Rn.~I:V.cta··"l!Xpiring
m,,) Quezon CITY ,
on December 31. 201(l
Roll# 51il!08 ,t
PTR No, 5101033101·06'09!Pasig Cii'l
, IBP 768906/0,1c06~9!Que7.on,City
93 coruOuie~~~\A~u;mbong

You might also like