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NYP11 ELECOM Form No.

ELECOM Reference No. _______

DECLARATION OF INTENT TO SEEK OFFICE

This is to notify the Election Committee of the 11th Parliament of Youth Leaders
(NYP11) of my desire to seek office for the position of (please check one appropriate
box only):

President/Presiding Officer

Vice President/Presiding Officer Pro tempore

Secretary General

Sergeant-At-Arms (Male)

Sergeant-At-Arms (Female)

________________________________________ _______________________
Signature Over Printed Name Date
NYP11 ELECOM Form No. 2

ELECOM Reference No. _______

CERTIFICATE OF CANDIDACY

Instructions:
a) Please write legibly or print all entries.
b) Accomplish this form and file on or before _______________ at the NYP11 ELECOM Desk.

I, WHOSE NAME AND OTHER PERSONAL DATA ARE HEREIN STATED, DO HEREBY FILE THIS
CERTIFICATE OF CANDIDACY FOR NATIONAL OFFICER OF THE 11TH PARLIAMENT OF YOUTH LEADERS.
I HEREBY DECLARE MY INTENTION AND DESIRE TO BE A CANDIDATE FOR THE POSITION OF
____________________________________________ AND I FURTHER STATE THE FOLLOWING:
(Position)

Full Name:

Birth Date:

Present Address:

Permanent Address:

Mobile No(s):

E-Mail Address(es):

1. I am presently an officer/member in good standing of the


_____________________________________________,
(Name of Organization)
and have been a member of the organization for _______ years.

2. I am a Filipino Citizen, with no administrative or criminal records pending in any court.

3. I have studied and understood the duties and responsibilities relative to the office or position for which I file my
Certificate of Candidacy as provided in the NYP11 Election Booklet.

4. I possess all the qualifications and I have none of the disqualifications pertaining to the office or position for
which
I file this Certificate of Candidacy.

IN WITNESS WHEREOF, I hereunto affix my signature on this Certificate of Candidacy, this


_______________________.

____________________________________
____________________________________ Signature
Printed Name of Candidate
NYP10 ELECOM Form No. 3

ELECOM Reference No. _______

CANDIDATE’S DATA SHEET


(Note: Please provide the Election Committee with a soft copy of the accomplished form)

Personal Information:

Name: ________________________________________ Region Represented: ____________


Sex:____ Age: ______ Birth Date: ________________ Birthplace: __________________

Organization/s Affiliated:

Years of
Name of Organization Position
Membership

Essay: (Limit your essay in 350 words)

Cite your commitments for the 11th Parliament of Youth Leaders (NYP11)*. Why are you
running for the position? What are your proposals to effectively advocate the NYP11 resolutions
and policy recommendations?

*Please note that elected officers shall serve their term during the entire Parliament proper.

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