INSTITUTE OF ELECTRONICS ENGINEERS OF THE PHILIPPINES, INC.

(IECEP) PAMPANGA CHAPTER
c/o Department of Electronics Engineering, College of Engineering and Architecture,
Holy Angel University,
#1 Holy Angel Avenue, Sto. Rosario, Angeles City, Pampanga
0917.805.5052|E-mail: iecep.pampanga@yahoo.com | Website: www.iecep-pampanga.org

CANDIDACY DECLARATION
ATTENTION: ELECTION COMMITTEE
I ( Applicant’s Name ) of legal age, residing at ( Applicant’s legal address), do solemnly and
sincerely declare as follows
I formally apply as Candidate for 2017 Director of the Institute of Electronics Engineers of
the Phils. Inc. ( IECEP )- PAMPANGA CHAPTER. If elected, I bind myself to perform and
discharge the duties and responsibilities of a member of the board or as officer and I will actively
participate in all proceedings of the Board and attend all its regular and special meetings.
I certify under penalty of perjury and or falsification of public documents that all the documents
submitted in support of my candidacy are true copies of the authentic original documents and
that I am prepared to submit these original documents if and when required.
I declare that the information, given by me, are accurate, correct and complete in all relevant
details to the best of my knowledge and belief.
I confirm that I have read and understood the provisions of RA 9292 and the IECEP By – Laws . I
agree that if elected, I will observe and will be bound by the RA 9292 law and the IECEP By-Laws.
I stand ready for interview and to respond to any reasonable request of the Election Committee
for explanations or further information in relation to my candidacy.
Signed
____________________________
( Signature of Declarant )
PRC Lic. No.________________
Validity : __________________
IECEP No. _________________
Validity :__________________
Note: Please attach copies of PRC and IECEP IDs.
ACTION OF ELECTION COMMITTEE
□ APPROVED FOR CANDIDACY
□ REJECTED FOR CANDIDACY REASON FOR DISAPPROVAL:
______________________________________________________________
Signed:
_____________________________________________________
(Name and Signature of Chairperson of Election Committee)

Rosario. Holy Angel University.com | Website: www. Sto. INC.805.5052|E-mail: iecep.org PLATFORM (Specify your goals and objectives. Angeles City.) GENERAL PLAN OF ACTIVITIES FOR THE BETTERMENT OF IECEP PAMPANGA CHAPTER Target Program/Activities Time Frame . Pampanga 0917. #1 Holy Angel Avenue. College of Engineering and Architecture. (IECEP) PAMPANGA CHAPTER c/o Department of Electronics Engineering.INSTITUTE OF ELECTRONICS ENGINEERS OF THE PHILIPPINES.iecep-pampanga.pampanga@yahoo.

(IECEP) PAMPANGA CHAPTER c/o Department of Electronics Engineering.iecep-pampanga. #1 Holy Angel Avenue. Sto.INSTITUTE OF ELECTRONICS ENGINEERS OF THE PHILIPPINES. Pampanga 0917. College of Engineering and Architecture. Rosario.5052|E-mail: iecep. Holy Angel University.pampanga@yahoo. INC.com | Website: www. Angeles City.805.org (Use additional sheets if necessary) .