Republic of the Philippines

Department of Education
Region XII Attach
Division of Sultan Kudarat 1x1 picture
PRES. QUIRINO WESLEYAN SCHOOL, INC.
National Highway, Brgy. Pob. Pres. Quirino, Sultan Kudarat

CERTIFICATE OF CANDIDACY
I hereby announce my candidacy for the position of ___________________________ of the SUPREME
STUDENT GOVERNMENT of Pres. Quirino Wesleyan School, Inc., Poblacion, President Quirino, Sultan Kudarat
for the School year 2020-2021.

1. LAST NAME

2. FIRST NAME

3. MIDDLE NAME

4. GRADE and
SECTION
5. COMPLETE
ADDRESS/
RESIDENCE
6. GENDER

7. AGE

I hereby certify that the facts stated herein are true and correct to the best of my knowledge.

_____________________________________________________________
SIGNATURE OF CANDIDATE OVER PRINTED NAME

PARENT’S CONSENT
I am allowing my son/daughter to run for his/her announced position for the upcoming SSG Election.

_____________________________________________________________
SIGNATURE OF PARENT OVER PRINTED NAME

Approved by: Noted by:

GERMANO N. GAMBOL III REV. EDNA G. BERMUDEZ

SSG ADVISER PRINCIPAL
 Republic of the Philippines
Department of Education
Region XII
Division of Sultan Kudarat
PRES. QUIRINO WESLEYAN SCHOOL, INC.
National Highway, Brgy. Pob. Pres. Quirino, Sultan Kudarat

CERTIFICATE OF CANDIDACY FOR SUPREME STUDENT GOVERNMENT

An officer of the Supreme Government lives the ideals, principles, and practices of participatory democracy.
He/She represents the student body, and must be fully committed to lead and serve the student body towards
the fulfillment of the goals of the Student Government. He/She must uphold the core values and thrusts of the
Department of Education and serve as a role model of school and community in words and in deeds.

Student Name: ____________________________________ Current Grade Level: ____________

PERSONAL DETAILS:
Gender: ______________ Age: _________ Date of Birth: ________________________
Email Address: ____________________________ Mobile No.: _________________________
Home Adress: ______________________________________________________________________________

COMPETENCIES OF CANDIDATES IN RELATION TO THE DESIRED POSITION

Name of activities participated related to be

Specific role in the activity
desired position

ELECTORAL INFORMATION:
Party Name: _____________________________________ Position in the Party: __________________

I certify that I am a bona fide student of this school.

I, whose name and other personal details are herein stated, do hereby file this Certificate of Candidacy for the
Supreme Student Government COMELEC in the election for school year 2020-2021.
I do hereby declare my intention and desire to be nominated for the particular position of
I further state that I am bona fide student of this school with good moral character and academic standing,
and I will abide with the election rules and guidelines of the Supreme Student Government.

I hereby certify that the facts stated herein are true and correct to the best of my knowledge.

_____________________________________________________________
SIGNATURE OF CANDIDATE OVER PRINTED NAME

SUBSCRIBED AND SWORN to before me this______ day of ______________, 2020 at ____________________,

Sultan Kudarat, Philippines affiant exhibiting to me his/her nomination kit which contains his/her C.O.C.,
photograph, academic records and parental consent.

_____________________________________________________________
SSG COMELEC ADVISER/REPRESENTATIVE