COMMISSION ON ELECTIONS

May 9, 2022
National and Local Elections
Statement of Expenses on Public Rally

PART A: PERSONAL INFORMATION OF THE CANDIDATE

NAME OF Abolar Carlos Jr
CANDIDATE: (SURNAME) (FIRST NAME)

Candidate Type: (Mark INDEPENDENT (no political party nomination)

with "X")
WITH POLITICAL PARTY NOMINATION (CONA)
NAME OF PARTY: Independent
(For candidates with CONA)
(COMPLETE NAME OF PARTY)
ELECTIVE POSITION: Sangguniang Bayan District/City/Municipality/ Province/Region :
Home/Office Address:
NUMBER STREET NAME BUILDING/SUBDIVISION

DATE OF RALLY: Rally Venue & Address:

PART B: CONTRIBUTIONS RECEIVED BY CANDIDATE FOR THE PUB

DATE OF RECEIPT OF RECEIPT CONTRIBUTOR'S TAXPAYER
NAME OF CONTRIBUTOR
CONTRIBUTIONS NUMBER ID No. (TIN)

N/A N/A N/A

TOTAL CONTRIBUTIONS (IN CA

PART C: EXPENSES INCURRED BY THE CANDIDATE FOR THE PUBL

DATE EXPENSE WAS RECEIPT BUSINESS FIRM/ NAME OF BUSINESS FIRM OR
INCURRED NUMBER CONTRACTOR'S TIN CONTRACTOR

TO

PART D: CERTIFICATION & ACKNOWLEDGMENT

I hereby certify that: (1) the expenses listed in Part C were made by me as candidate or by my duly authorized
representative; (2) the contributions listed in Part B were received by me as candidate or by my duly authorized
representative; (3) all entries specified above are true & correct; (4) both contributions & expenses are supported by receipts,
invoices, & similar documents; (5) the expenses were incurred in accordance with the Omnibus Election Code & other
pertinent laws.

Carlos Jr Praga DATE SIGNED

 COMMISSION ON ELECTIONS
FORM
May 9, 2022
National and Local Elections SER-C
Statement of Expenses on Public Rally

RT A: PERSONAL INFORMATION OF THE CANDIDATE

Praga
(MIDDLE NAME)
E-MAIL ADDRESS: carlpinky@gmail.com

CONTACT NUMBER: 9074233867

Independent

(COMPLETE NAME OF PARTY) (ACRONYM)

Newe Lucena

Cabilauan New Lucena Iloilo

BARANGAY CITY/MUNICIPALITY PROVINCE/REGION

TRIBUTIONS RECEIVED BY CANDIDATE FOR THE PUBLIC RALLY

CONTRIBUTION TYPE
ADDRESS OF CONTRIBUTOR AMOUNT / VALUE
(Cash/In-Kind)

N/A N/A N/A

TOTAL CONTRIBUTIONS (IN CASH & IN KIND) RECEIVED FOR THE PUBLIC RALLY ₱ -

ENSES INCURRED BY THE CANDIDATE FOR THE PUBLIC RALLY

ADDRESS OF BUSINESS FIRM OR
DESCRIPTION OF EXPENSE AMOUNT
CONTRACTOR

TOTAL EXPENSES INCURRED FOR THE PUBLIC RALLY ₱ -

PART D: CERTIFICATION & ACKNOWLEDGMENT

SUBSCRIBED & SWORN TO before me this
affiant exhibiting his/her expiring on
(Gov't-Issued Identification) (ID Number)
, and issued by .
(Expiry Date of ID) (Issuing Government Agency)

Doc. No.: ______

Page No.: ______
Book No.: ______
Series of 2019. NOTARY PUBLIC