Northeastern Mindanao Colleges

Supreme Student Government

Commission on Elections
Surigao City

CERTIFICATE OF CANDIDACY
INSTRUCTIONS: (Read well before filling up this form.)

1. File personally in TWO (2) LEGIBLE copies with the Student COMELEC
Chairman on or before April 17, 2023.
2. Your certificate of candidacy will not be accepted by the Election Officer if you
do not qualify for the position or as decided by the SC on certain cases.
3. This certificate shall be sworn before the Chairman of the Student COMELEC.

I Hereby announce my candidacy for the position of , of the

Supreme Student Government, Academic Year .

1. My NAME is:

1.1 LAST NAME:

1.2 FIRST NAME:

1.3 MIDDLE
NAME:

2. COURSE & YEAR: 3. E-mail Address:

Course Major Year

4.
3. ADDRESS: 5. AGE:

6. GENDER: Male Female 7. Contact #:

8. DATE OF BIRTH: 9. PLACE OF BIRTH:

(mm-dd-yyyy)

10. CIVIL STATUS: Single Married Widow/er Annulled/Divorced

Full name of spouse if married:

11. I am an enrolled NEMCO student of this Academic Year.
12. I posses all the qualifications for the office I seek to be elected to.
13. I will support and defend the constitution and by-laws of the SSG and
will maintain true faith and allegiance thereto. I will obey the laws, legal
orders and decrees promulgated by the duly constituted authorities. I
impose this obligation upon myself voluntarily, without mental
reservation or purpose of evasion.
14. I recognize the authority of the student COMELEC Chairman not to accept
my certificate of candidacy in case I fail to qualify for the position I seek to
be elected to.

ROLLED THUMBPRINT

LEFT RIGHT

I hereby certify that the information provided herein is true and correct of my own
personal knowledge.

Signature of Candidate above Printed Name

Oath

SUBSCRIBED AND SWORN to before me this day of , 20 at the

SSG Office of Northeastern Mindanao Colleges, Surigao City, and affiant exhibiting to
me his/her Identification Card. No. .

MARK ALDEN TIU

Student COMELEC Chairman