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Application For Registration: Personal Information
Application For Registration: Personal Information
ph
CEF-1A
Republic of the Philippines
COMMISSION ON ELECTIONS
APPLICATION FOR REGISTRATION
(Voters Registration Record upon approval by the ERB)
Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
Middle Gender
Male Female
PLACE OF BIRTH
Date of Naturalization/ Month Day Year Certificate No./Order of Approval CIVIL STATUS
Reacquisition Single Widow/er
COPY FOR THE ELECTION OFFICER
Last Last
First First
Middle Middle
DATE - -
Month Day Year Signature of Applicant
Above Printed Name Left Thumb Right Thumb
EO / Administering Officer 1. 2. 3.
(Signature above Printed Name)
Part 3 ACTION BY THE ELECTION REGISTRATION BOARD
Month Day Year
First
EO/Interviewer Signature above Printed Name
Middle
Downloaded from: http://www.comelec.gov.ph CEF1-A: COPY FOR THE ELECTION OFFICER (BACK)
VOTING RECORD
Voter's
DATE Ballot No. Chairman's Signature
Thumbmark Signature
Downloaded from: http://www.comelec.gov.ph
CEF-1A
Republic of the Philippines
COMMISSION ON ELECTIONS
APPLICATION FOR REGISTRATION
(Voters Registration Record upon approval by the ERB)
Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
Middle Gender
Male Female
PLACE OF BIRTH
Date of Naturalization/ Month Day Year Certificate No./Order of Approval CIVIL STATUS
Reacquisition Single Widow/er
Last Last
First First
Middle Middle
DATE - -
Month Day Year Signature of Applicant
Above Printed Name Left Thumb Right Thumb
EO / Administering Officer 1. 2. 3.
(Signature above Printed Name)
Part 3 ACTION BY THE ELECTION REGISTRATION BOARD
Month Day Year
Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
Middle Gender
Male Female
PLACE OF BIRTH
Date of Naturalization/ Month Day Year Certificate No./Order of Approval CIVIL STATUS
Reacquisition Single Widow/er
Last Last
First First
Middle Middle
DATE - -
Month Day Year Signature of Applicant
Above Printed Name Left Thumb Right Thumb
EO / Administering Officer 1. 2. 3.
(Signature above Printed Name)
Part 3 ACTION BY THE ELECTION REGISTRATION BOARD
Month Day Year