CAGAYAN STATE UNIVERSITY – CARIG CAMPUS

CAMPUS ELECTORAL BOARD

CARIG SUR, TUGUERAO CITY, CAGAYAN 3500

CERTIFICATE OF CANDIDACY
CAMPUS COLLEGE

I. GENERAL INFORMATION: 2x2

Position Desired: ___________________ Date: _________
Partylist: __________________________
ID PICTURE
Name:
__________________________________________________
(Surname) (First Name) (Middle Name)
(Ext.)
Course and Year Level: _________________ GWA: ___________
College: _____________________________ Civil Status: _________
Birthdate: ____________ Birthplace: _____________________
Citizenship: ___________ Religion: ______________________
Permanent Address: ____________________________________________________________________
Present Address: _______________________________________________________________________
Email Address: _______________________________ Contact No.: ________________

II. LEADERSHIP EXPERIENCES*:

Position Name of Organization: School Year:

III. LEADERSHIP SEMINARS ATTENDED**:

Title of the Seminar Venue: School Year:

IV. WRITE A BRIEF EXPLANATION WHY YOU WANT TO RUN FOR SUCH POSITION:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

LETTER OF CANDIDACY

I, whose name appears above, a bonafide student of Cagayan State University - Carig Campus of
good academic standing and good moral character, hereby run for the position of
_____________________________.

It is that I pledge not to clench for power but for the service to cater the common good. I run for
this position, unstrained but voluntarily and whole-heartedly. I will play fairly and promise not to commit
any forms of cheating against my opponent just to win. It will be my responsibility to uphold peace and
order, in myself and towards others, inside and outside the school. I am a symbol of responsibility and an
AUTHENTICATED CSUan, not by name, but through my words and deeds.

______________________________
Signature over Printed Name

JULIUS CEASAR V. QUINTO

*Attach any proof for such position

**Attach Certificate of Participation of the event
CAGAYAN STATE UNIVERSITY – CARIG CAMPUS
CAMPUS ELECTORAL BOARD
CARIG SUR, TUGUERAO CITY, CAGAYAN 3500

Chairman, Campus Electoral Board

*Attach any proof for such position

**Attach Certificate of Participation of the event