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Republic of the Philippines

COMMISSION ON ELECTIONS
Manila
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CERTIFICATE OF CANDIDACY FOR
SENATOR
INSTRUCTIONS: (Read well before filling up this form.)
1. File this in FIVE (5) LEGIBLE copies.
2. File th'ls certificate of candidacy with the Law Department, COMElEC Main Office, Intramuros, Manila, starting November 20, 2009 up to
midnight of November 30, 2009.
), Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
certmcate of nomination shall be accepted.
4. Titles such as 'Dr., Atty., Don, Ginoo, Senor, Datu, Hadji, Sultan, Bal, Senora, Kapitan or similar titles are exprasslvprohlblted,
5. This certificate shall be sworn before a notary public or any ofricial authorized to administer oath. COMELEC orrtciats are not authorized to.
administer oath.

thereby announte my candidacy for the position of SENATOR, Republic: of the Philippllles, ill the Mav 10, 2010 @iE!ctions;
and after having been sWorn to ill accord:ulcQ with law, hj!reby state the following:

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

1.1 last Name


D Male GFemale 64
....
', .., '"
-
5. MY DATE OF BIRTH IS:
1.2 First Name O· :'6':
. '-' ~l' :'5':
.:- l ':9':[
.. + :5:.
. . Month Day Year
1.3 Middle Name .P .;1\ i,:){ A;.. ;. . . '.
6. MY PLACE'OF BIR.TH IS:
2. I AM GENERAllY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME
(Indicate only one nickname or stagename)
City/Mun ILOILO CITY
Province ILOILO'
1------M I ...:....-..:.....:.........;.-...:........;
1\':1; A: M: -----.
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""
...-;......;
..-.,.;
-'------- ~.-.....;~.-
-'·..;;.;..;------t8.MY CIVIL STATUS IS:
7, I AM OFFICIALLY NOMINATED

.PEOPLE'S REFORM .PARTY


BY: (Atlilch Certificate of Nominatton)
o Single 0 Widow/er

[i] Married 0 Legally Separated

9. MY RESIDENCE!
ADDRESS IS:
9.1 Province o AnnuUed / Divorced

Full Name of Spouse, if married


9.2 City/Municipality
9.~ ~~~n.g~y.
.N.ARC:r:SQ YA~ .. !:?Al'{['JA~01,. ,JR,.
:.Q UE::z:O ;N:.:C:r :T.:Y: :P A:N: .S:O: L: 10. MY PROFESSION OR
9.4 House No./ Street / Subdivision OCCUPATION IS :

: 6: :B.A:G:OB:O. :S:T.,: : LA SENA.TOR.


11. row POST OFFICE ADDRESS FOR ELECTION 'PURPOSES IS ; (Could be the same as No.9) 12. I AM A REGISTERED VOTEROf

4/F .NARSAN .B1{;~, .3 ..vm.S! . ROtJR'I'H .. ST., W}';S'I' .T~Il\~GLE, . Q ~C -. Precinct 4257A.
Ilgy PANSOL
.... --- .
13. MY PERIOD OF.RESIDENCE IN THE PHILIPPINES SEj=ORE MAY 10, 2010 IS;
City/Mun QUEZON CITY
: 1-:1: No.·of Months 6: 4: No. of Years
Province NCR
--------.-------
14. I AM A NATURAL BORN FILIPINO CITIZEN, D'THUMBPRINT
15. I AM NOT A PERMANENT RESIDENT OF,.OR ItvlMIGRANT TO, A FOREIGN
COUNTRY.
16. 1 AM EUGIBLE FOR THE OFFICE 1 SEEK TO !}E ELECTED TO.
17. 1. WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE
PHILIPPINES AND WILL MAINTAIN TRUI; 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 MENTALRES1;:RVA110N OR PURPOSE OF EVASION,

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