Republic of the Philippines

Commission on Election
ELECTORAL BOARD
Municipality of __________
Barangay __________

PROTEST

I, ______________________, of legal age, Filipino, and a resident of the Municipality of

_________________Barangay ____________ hereby depose and states that:

1. I am the duly authorized pollwatcher of Mr/Ms_______________________ running for

the position of _______________________;

2. I am duly assigned at Precinct Number _______, Barangay

_________________________, Municipality of ______________, Misamis Oriental;

3. During the proceedings in the above-mentioned precinct on election day, I observed and
witnessed the following irregularities:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________________________________________________.

That such act is a clear violation of the COMELEC Resolution Number 10924, the
Omnibus Election Code and other related election rules and regulations.

IN WITNESS HEREOF, I hereby affixed my signature this 30 th Day of October 2023 at

______________________, Misamis Oriental.

____________________________.
Name and Signature of Watcher

Decision of the Electoral Board:

Based on the Decision of the Electoral Board, it is hereby decided that:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_________________________________.

_____________________. _____________________. _____________________.

Chairman of the Board Poll Clerk Third Member