Republic of tile Philippines

COMMISSION ON ELECTIONS
Manila

CERTIFICATE OF C
SENAm
INSTRucnONS: (Read well before filling up this form.)
1. FIle this in FIVE (5) leGIBLE copies.
2. 'File this certificate of candidacy with the Law Department, COMELEC 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
certificate of nomination shall be accepted.
4. Titles such as 'Dr., Atty., Don, Glnoo, Seiior, Datu, Had]l, Sultan, 8ai, Seiiora, Kapitan or similar tltles are expressly prohibited.
5. This certrflcate shall be sworn bero're a notary public or any official authorized to administer ~ath. COMELEC officials are not authorized t,o

administer oath.
--------------.--------.~---------
:-.'t herebyannounce my candidacy for the position Of SENATOR, Republit of the Philippines, in the May 10, 2010 elections;
. am" after h:win!J been sworn to in accordance with law, hel'eby state the following:

1. MY NAME IS : 4. MYAGEIS:

1.1 Last Name : ;v(; ':'+':';lJ~':" .:.. ~ : ,. -,.. r":' -';" ';'" ~.. ~ :.. '.-' '~"':""':" .; . ----
'-(0
... _--
• ' ... '.. -- ! - •- .. . -', . -:. -' : .. .'.. .'. - .\ .. ', . - : . - : ... ' ', •. ~- . .'. - .'- . .' ', - .', - - ~- ..
5. MY DATEOF BIRTH IS :

1.2 R~tName :~: j~j'. ••. ...'.

:~:.~:~: .. J. '.~'.-_-"".-.. _ _.:-.-.~_: -_ -.~._•• ~ t":'0· ':-~:.;: .;;-: '/':(/:"6' >1
:.. ; .. : :_~.~.: :_.:.?: ... :.r.:
1.3~ddleName [Br (): ~] (:~.:.' :::-.:::::.:::: ~:::' :._-_ ~ _: :..- ~ ~ : ~- :- . Month Day Year

6. MY PLACEOF BIRTH IS :
2. I AM GENERAllY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME
fYI. tr!'J./011 ..... ' _.... "
:M:O ':'rr~':M:·O-:;..:r· '" --... :","
(Indicate only one nickname or stagename)
"""- " ··.···r .','. "
City/Mun
Province
.....

~------~·._._-_c-_-~'.-.-.'---~.·-
..-.~'--.~'.-.~.'-
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..~,_..~'_.~.:_
.._..c._.~'._.~-·_
.._..·--_.~,~~-.~.- ..---.-----~~__+8.MYClVlLSTATUSIS:
7. I AM OFflCIAll

._
Y NOMINATED

Nit .C:/.0. ~l tr.ld ~.Tf}

BY: (Attach CertiAc;ate of Nomination)

P.ftiI.:A-Y , .. '
o .
Single 0 Widow/er

[d-'"MalTied 0 Legally Separated

9. MY RESIDENCEI
ADDRESS
9.20ty/Munlcipality
IS :
9.1 Province
~T::.'::....:::::-.'":.,::.':.::::...:... o
if: .~I~T~ii):~.: Annulled I DIVorced.

Full Name of Spouse, if married

9.~ .B?r:a.n.g~y
.. r •• , __ , . •••.•• (. IF· ~ .1\
" ". . '.-- .: : -- ... : - '; ••••M..:.; .••••.~ •.•.•' •.••
I.FV•• f'I __ ·_fVJ•.•.•
•••••• .l.••
, '•Vf-'t
•..•.••
__
. _ •••••

:.l.; ~_:~:{).;r3 .: _.' ,.. : :.. : 10. MY PROFESSION OR

OCCUPATION IS :

:C:/f:t:O:
• I •••
_.... {) ':11. I t!l!X~M.IJ1'! ..
11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS: (Could be ltle same as No.9) 12. I AM A REGISTERED VOn:R OF

Precinct ....... As~·8

Y. __ .

13. MY PERIOD OF RESIDENCE IN THE PHIUPPINES BEFORE MAY 10,2010 IS:

6gy ......P.f!'!1~ _ .
r.·· ••···.
C1ty/Mun ..... M.O .fI:-k.tr.N .
:7: No. of Monltls : ~ $" : No. of Years
Province ....I!~lr!'! _.
14. I AM A NATURALBORN FIl1PINO CITIZEN. I> THUM'BPRINT
15. I AM NOT A PERMANENTRESIDENT OF, OR IMMIGRANTTO, A FOREIGN
COUNTRY.
16. I AM EUGIBLE FOR THE OFACE I SEEK TO BE ELECTEDTO.
17. I 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 THIS OBLIGATION UPON MYSELF
VOLUNTARILY,WITHOUT MENTALRESERVATIONOR PURPOSE OF EVASION.

ThumbprInt
.~.. _ - - - .. - - - - _. -
I hereby certifY that the facts stated herein are true

Signatur. of candldata OverPrlnte<iName

OATH

. . SUBSCRIBED A~D SWORN to before me thIs l2- day of Noyef\lber, 2009, at ~!.!t1V1l Q'fjJ , affi81!t exhibiting to me his/her
crC/Identification Card No. Dfat7(S Issued by :TWb f1I?I)rf'JD fukwill On: 1lk1«Ji ,?< i\Y1Cf.
tr/J1- lir (g7qfj, ,-,rv I'll.{vZC]l c..fLi' 2t'if- If)-- 115
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