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Republic ofthe Philippines

COMMISSION ON ELECTIONS
Manila

INSTRUCTIONS: (Read well before filnngup this form.)


1. Fue this In FIVE(5) LEGIBLEcopies.
1. File this certificate of candidacy with the Law Department, COi~ELEC Main Office, intramuros, Manila, starting November 20, 2009 up to
midnight of November 30, 2009.
3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
certficate of nomination shall be accepted,
4. Titles such as 'Dr., Atty'" Don, Ginoo,Senor, Datu, Hadji, Sultan, Bal, Sefiora, Kapitan or similar titles are expressly prohibited.
5. This certificate shall be sworn before a notary public or any official authorized to administer oath. COMELEC.erncrats 'are not authorized to
adminl~ter oath.

1. MY NAME IS : 3. MY GENDER IS : 4. MY AGE IS:

1.1 Last Name


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~I Male OFemale 85
:~.)-;l)~ -.;~);..;~.: , ::.. ~.., , ',..;.: : ' ..: c .. : 5. MY DATE OF BIRTH IS:
:J :U :A :N -;
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1.2 First Name
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1.3 Middle Name Month Day Yea,


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6. MY PLACE OF BIRTH IS :
2, I AM GENERALLY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME
(1ndlcate only one nickname or stagename) City/Mun GONZAGA., .
:";" .: ~ .. : .. ~ : : : : .. ;. ':' '::''': ":" ';' ":''':''~' .. :.. ';" ';"':":' .~ .. ':''': Province Ch~l?-X~ .
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7. I AM OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination)
............... PWERSA.NG .MASANG,PILIP.INO .. (PMP,}. .
o Single 0 WldfNIjer

P i [Xl Married 0 LegallySeparated


9. MY RESIDENCE!
ADDRESS IS :
9.1 Province
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o Annulled j Divonced

Full Name of Spouse, if married


9.2 City/Municipality 9.3 Barangay
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CRISTINA GARCIA CASTANER
:.M.;A.:K.:A.:T. ;r.:. ::<;:.:.:(.'J'. ~;( :__.: : : :,.. ~ :... : : ; .. ; ... :... :... :.. ,:... ; .. :.. ; .. : 10. MY PROFESSIO~ OR
OCCUPATION IS :
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11. MY POST OfFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as No.9) 12. I AM A REGISTERED VOTER OF
2307 MORADO ST. I DASMARINAS VILLAGE I MAKATI CITY Precinct
.....
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13. MY PERIOD OF RESIDENCE IN THE PHILIPPINES BEFORE MAY 10, 2010 IS :
Bgy . .. CENTRQ .1Q . .cP.oB) ... ,.
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OtyjMun APARRI
:0 :A: No.of Monltls :8 :6 : No.of Years Province
_ •• 0 •••••••

CAGAYAN
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14. I AM A NATURAL BORN FILIPINO CITIZEN. ! D'tHUMBPltlNT


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15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN
COUNTRY,
16. I AM ELIGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
17 • .I WILL SUPPORT AND DEFEND THE CONSTITUTION OF HIE 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 THIS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.

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I hereby certify that the facts stated herein are true and correct a

SUBSCRIBED AND SWORN to befo~


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Doc. No.&'\tr- ; ~,,.t ND. t'Jl\ 00011 141 ""Co(


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Book NO.----It:
Page No. -----:;'T"'-:-.-~'+-----;r

Series of 200.tf,