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NAME OF CANDIDATE: aed NICHOLAS BERNARD __ ae
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‘October 30,2023
snd Sangguniang Kabataan Elections
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October 30, 2023, FORM
Barangay and Sangguniang Kabataan Elections 3
CERTIFICATION AND CONSENT ON DATA PRIVACY
rnesgped cana ler sg daly sworn heey depose and sae tha
soxERehons bated in Fors Zand oer support vers made lore as candidate an i was received by me and/or my duly aithorized representative:
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on November 28, 2023
AFFIX SIGNATURE HERE 0 NICHOLAS ##ANARD PLATA NAVARRO
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SUBSCRIBED ANDSWORNTObeforemeon UM,
conor coe orate LAND TRANSPORTATION OFFICE
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