Junior Chamber International Philippines

Developing Leaders for a Changing World

14 Don A. Roces Ave., Quezon City
Tel / Fax. No. (02)8374-4138
E-mail : NOM@philjaycees.com Website : www.jciphilippines.com

ENDORSEMENT

We, the undersigned, constituting the majority of the member of the Board of Directors of the JCI
______________________, an LO affiliated in good standing of the JCI Philippines do hereby certify that we have
endorsed the following members in good standing of our chapter as our Official Voting Delegates during simultaneous
Area Conferences to be held on September 2-4, 2022 per LO resolution as follows;

“RESOLVED to endorsed the following members listed below as our Official Voting Delegates for the national
elections this year its schedule to be determined by the Comelec and approved by the National Board.

Name of Voting Delegates LO Position Regular / Alternate

IN WITNESS WHEREOF we hereunder affix our signatures this ___day of_______________________ 2022
at ____________________________.

Printed Name of Board of Directors Customary Signature Board of Directors

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

_______________________________ _________________________________

Attested :
_____________________________ ________________________________
LO President Secretary

SUBSCRIBED AND SWORN to before me this ___ day of ___________, 20____ at _______________________,
affiants exhibiting to me competent proof identity, viz;

NAME GOV’T. ISSUED ID ISSUED AT ISSUED ON

__________________________ __________________ _______________ ________________
__________________________ __________________ _______________ ________________
__________________________ __________________ _______________ ________________

NOTARY PUBLIC
Doc. No.
Page no.
Book No.
Series of 20____