COMMISSION ON ELECTIONS

October 30, 2023

Barangay and Sangguniang Kabataan Elections SOCE
Statement of Contributions and Expenditures
PART I: PERSONAL INFORMATION OF THE CANDIDATE
1 SARIP NADJMAH AMEROL
NAME OF CANDIDATE: (SURNAME) (FIRST NAME) (MIDDLE NAME)
GENDER: FEMALE
(EXTENSION)
2 ELECTIVE POSITION: BARANGAY SK KAGAWAD
3 CONSTITUENCY OF THE ELECTIVE POSITION:
BADAK PUALAS LANAO DEL SUR BARMM
(BARANGAY) (CITY/MUNICIPALITY) (PROVINCE (REGION)

PART II: TOTAL ELECTION CONTRIBUTION AND EXPENDITURE

II. A. CONTRIBUTIONS RECEIVED (Itemized entries in the schedule of contributions, indicate "0.00" if none received)
1 CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES: ₱0.00
2 IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES: ₱0.00
TOTAL CONTRIBUTIONS RECEIVED ₱0.00
II. B. EXPENDITURES (Itemized entries in the schedule of expenditures, indicate "0.00" if none received)
1 EXPENDITURES PAID OUT OF PERSONAL FUNDS / RESOURCES: ₱100.00
2 EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS: ₱0.00
3 EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS: ₱0.00
TOTAL EXPENDITURES INCCURED ₱100.00

PART III. SUMMARY REPORT OF LAWFUL EXPENDITURES

III. A : SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYPE/CATEGORY
Travel expenses of candidate and campaign personnel during the campaign and incidental personal ₱50.00
A expenses
Compensation of campaigners, clerks, stenographers, messengers, and other persons employed in the ₱0.00
B campaign
Telephone, mobile phone usage fees, prepaid phone load, internet access, postages, freight and courier ₱50.00
C charges
₱0.00
Stationery, printing and distribution of printed materials relative to candidacy;
D
₱0.00
Employment of watchers at the polls
E
₱0.00
Rent, maintenance and furnishing of campaign headquarters, office or place of meetings
F
Political meetings and rallies & the use of sound systems, lights and decorations during said meetings ₱0.00
G and rallies
Newspaper, radio, TV and other advertisements to promote the candidacy, including website/internet ₱0.00
H ad placements
SUB- TOTAL (Item A to H) ₱100.00
III. B : EXPENDITURES INCURRED (Itemized entries in Schedule of Expenditures)
Employment of counsel
I ₱0.00
Copying and classifying lists of voters, investigating and challenging the right to vote of persons
J registered in the lists ₱0.00
Printing of sample ballots in such color, size and maximum number as may be authorized by the
K Commission ₱0.00
SUB-TOTAL (Item I to K) ₱0.00
TOTAL EXPENDITURES INCURRED ₱100.00

THIS SECTION IS FOR COMELEC USE ONLY - DO NOT ENCODE / WRITING ANYTHING BEYOND THIS LINE
Indicate "✓" beside form code/document name if submitted, "✗" if
☐ SOCE Form ☐ ROC Form
☐ NPR Form ☐ Contribution Receipts
☐ SER-C Form ☐ Deed of Contributions Form
☐ ARC Form ☐ Expenditure Receipts
☐ SPA Form ☐ SAC Form
☐ Others: pls. specify: NO. OF PAGES: _________
(This space is for the receiving date/time stamp of the receiving office)
 SCHEDULE OF ELECTION CONTRIBUTION AND EXPENDITURES SOCE

Schedule of Contributions Received

Type of Contribution DESCRIPTION
DATE RECEIVED RECEIPT NUMBER FULL NAME OF CONTRIBUTOR ADDRESS OF CONTRIBUTOR AMOUNT/VALUE OF CONTRIBUTION
(Cash or In-kind) (for in-kind contributions)

N/A N/A N/A N/A N/A N/A ₱0.00

TOTAL CONTRIBUTIONS RECEIVED ₱0.00

(Note: Use additional sheets if necessary)

Schedule of Expenditures
RECEIPT/ INVOICE FULL NAME OF BUSINESS FIRM OR Exp Type AMOUNT/VALUE OF
DATE INCURRED ADDRESS OF BUSINESS FIRM OR CONTRACTOR DESCRIPTION OF EXPENSE
NUMBER CONTRACTOR (A-K) EXPENDITURE

N/A N/A N/A N/A N/A N/A ₱0.00

TOTAL EXPENDITURES INCURRED ₱0.00

(Note: Use additional sheets if necessary)

Schedule of Unpaid Obligations

DESCRIPTION OF THE OBLIGATION PURPOSE REMAINING OBLIGATION AMOUNT/VALUE OF

DATE INCURRED CONTRACT / LOAN NO. NAME OF CREDITOR ADDRESS OF CREDITOR
(i.e. loan, etc.) (for incurring obligations) (partial payments were made) OBLIGATION

N/A N/A N/A N/A N/A N/A N/A ₱0.00

TOTAL UNPAID OBLIGATIONS ₱0.00

(Note: Use additional sheets if necessary)

 CERTIFICATION AND CONSENT ON DATA PRIVACY SOCE

The undersigned candidate, after being duly sworn to, hereby depose and state that:
(1) The contributions listed in this and other supporting were made to me as a candidate and it was received by me and/or my duly aithorized representative;

(2) The expenses listed in this Form and other supporting documents were incurred by me as a candidate or by my duly authorized representative/s;

(3) The obligations listed in this Form were incurred by me as a candidate or with my authority by my duly authorized representative

(4) This disclosure is supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and complete contributions received and expenditures incurred by the undersigned candidate and my duly
authorized representative;
(5) The contributions received and expenditures incurred are in accordance with the campaign finance laws and regulations;
(6) All entries specified on my report on Election Contributions and Expenditures and supporting documents are true and correct.

(7) I undertake to safekeep for a period of five (5) years from the date of submission of the SOCE and its supporting documents and submit the same when required by the Commission on Elections
(8) I consent on the general use and sharing of information obtained in my report and supporting documents for legitimate purposes; and

IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].

NADJMAH A. SARIP

SIGNATURE OVER PRINTED NAME

JURAT

SUBSCRIBED AND SWORN TO before me on (date) candidate exhibiting

issued by expiring on [date of expiry].

(Type of identification document) (Government Agency issuing the ID)

AUTHORIZED PERSON TO ADMINISTER OATH