Republic of the Philippines COMMISSION ON ELECTIONS Manila CERTIFICATE OF CANDIDACY FOR MEMBER, SANGGUNIANG BARANGAY ss Ske ees BANGGUNIANG BARANGAY [INSTRUCTIONS: (Read well before Mitng up Tis form 1. File this in THREE (3) LEGIBLE copies with the COMELEC Off ‘ONLY, on any day from September 23, 2017 to September 30, 2017, 2. Titles such ad Or, Atty,.Don, Ginoo, Sefer, Datu, Sultan, Bal, SeRora, 3. This certificate shall be sworn before a notary pu ‘administer the oath on the COCs fled within their: 4, __Nofiling fee shall be imposed. Thereby announce my candldacy for the ‘Municipality of Maria Aurora, Province of Aurora, in the October 23, having been sworn to in accordance with law, 32 of jurisdiction, free of charge. thereby state the following: position of MEMBER, SANGGUNIANG BARANGAY of BARANGAY COBY mw 2017 Barangay and Sangguniang Kabataan (SK) Elections, and after fice concerned, during regular office hours (8:00 AM to 5:00 PM, Kapitan or other similar titles are expressly prohibited, F any official authorized to administer oath, The Election Officer may fs. NAME: a1 tusnme — ATA IETOTElS 41.2 FirstName S\Aleiv|4lolole] RTS = [LN ramdsenme — [VIN ILTLIA "2. NICKNAME OR STAGENAM 17, PLACE OF BIRTH: =] |[dIe fo ms iS }O} 0 i= B slalt|v[alofole] [P| pF ss aa 32 _City/Munipalty 33 Garaneny Province rova i] S| +e > SS = = =) rs] e a 4 [8] Prlule ful eyayay ol 18. civiLstaTuS: Single Widower 4. ADDRESS FOR ELECTION, IRPOSES: Cou bee same 33 No) cobricu lau west Mavia horora 5 PERIOD OF RESIDENCE N THE PHILIPPINES UPTO THE DAY BEFORE OcTOBER 73, 2on). 74. inte Paces [eo ste [DLR orm [Bio overs EBT Row rains 72 inthe above stated Cy / Mancina: 5. TAMA FUPING CITIZEN, VAM NOT A PERMANENT RESIDENT OF, OR AN IMMIGRANT TO, A FOREIGN COUNTRY. 8. | EXECUTED A SWORN RENUNCIATION OF FOREIGN CITIZENSHIP (F APPLICABLE, ATTACH A COPY] 9. AM ELIGIBLE FOR THE OFFICE | SEEK TO BE ELECTED To, '/AM NOT A MEMBER OF ANY POLITICAL PARTY, GROUP OR COALITION OF POLITICAL PARTIES |WILL FLE, WITH THE OFFICES OF THE COMMISSION, WITHIN THIRTY (30) DAYS AFTER ELECTION DAY, "MY FULL, TRUE AND ITEMIZED STATEMENT OF CONTRIBUTIONS AND EXPENDITURES ($0CE) IN CONNECTION WITH THE ELECTION. | WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE PHILIPPINES AND With MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. 1 WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE DULY CONSTITUTED AUTHORITIES. IMPOSE THIS OBLIGATION UPON MYSELF VOLUNTARY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION. 13. GIVE CONSENT TO THE PROCESSING OF THE INFORMATION ST ELECTION AND OTHER PURPOSES AS MAY BE PROVIDED ENOWH AS THE DATA PaVacy Act hereby ceriy thatthe facts stated herein ae rue and correct othe best of my knowledge SAlvAdor vy. Signature of Candidate NES FATED HEREIN 8Y THE COMMISSION ON ELECTIONS FOR, [Airaries Fb ame of sous, Mari Marisa WN. Maives 19. PROFESSION OR OCCUPATION: ce Farwer 20. sw aaccsrenco vorenoF Precinct OOST A sarangay COMI AVCDLON wes cwimun, Mavi AU rOKG vrovnce AVP OFA $Ery = 2ARDOS. DE LEON 7 Ic sussenteo mo swonvictrirenens 20 _aayor_ PPV) or). Movi ALUBST HL QE PO rant ureteric crt essen masonite PG SAK xcs BERMO,CEN-1OOSE HA NOW. 20,20 Nos ys ie 10 OT NUS. 1 ESUA is i CABANATUAN CITY, NUo\ 4 2 sae Ss (att 21500 gacumentary tmp ENOi att 3c4a No. 3 MOLE COMPLIANC! ieee 7M TERS EAS simi oat Vrpenntar Coon i