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Instructions: 1, Please fil in the following details and submit the same to the Law Department on or before 28 September 2018 2. Additional Sheets may be used in case of more than five (5) authorized signatories pe Name of Political Party, Sectoral Party, Organization or Coalitio: Address of Political Party, Sectoral Party, Organization or Coalition: 3. Acronynys and its abbreviated version/s in not more than six characters, taking appear on the official ballot of a candidate: LIST OF AUTHORIZED SIGNATORIES (For the May 13, 2019 National and Local Elections) Annex “A” tion of the name to ‘Name of Authorized Signatory Three (3) sets of specimen signature Position Jurisdiction, whether National or of each signatory Local (If Local, name of Province/City/Municipality) i b. 2: 29 Aug 18 Instructions: ‘Annex “A” 1. Please fill in the following details and submit the same to the Law Department on or before 28 September 2018 2. Additional Sheets may be used in case of more than five (5) authorized signatories Gi (Name and Signature of Authorized Person to Submit List of Authorized Signatories) NOTICE/DISCLAIMER: All authorized recipients of any personal data, personal information, privileged information and sensitive personal information contained in this document, including other pertinent documents attached thereto that are shared by the Commission on Elections in compliance with existing laws and rules, and in conformity with the Data Privacy Act of 2012 (R.A. No. 10173) and its Implementing Rules and Regulations, as well as the pertinent Circulars of the National Privacy Commission, are similarly bound to comply with said laws, rules and regulations, relating to data privacy, security, confidentiality, protection and accountability. 29 Aug 18

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