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PETITION

Petitioner through counsel respectfully alleges:

1. That he is a qualified voter and was one of the registered candidates voted for in the general election
held on _____________ in the province of _______________, Philippines, within the jurisdiction of
the court;

2. That according to the certificate of canvass of the provincial board of canvassers for the province
of ________, the total votes for the office of the provincial Governor for the said province was
___________ the respondent appearing to have received ______ votes, the
petitioner ____________votes and the other registered candidate voted for, as
follows:_______________

3. That on _______, the said provincial board of canvassers proclaimed the respondent ________
elected to the office of the provincial Governor of the province of _______;

4. That the petitioner contests the election of the said respondent on the following grounds:
__________________-

5. That the petitioner is willing to give a bond, as this Honorable Court may determine to cover all
reasonable expenses and costs and damages, incidental to these proceedings;

WHEREFORE, it is respectfully prayed:

1. That upon service of summons in accordance with law, a day be set for the hearing of the protest;

2. That an order be issued to the municipal treasurers of the Municipalities of ______ to bring and
present before the Honorable Court on or before the day of the hearing of this protest the ballot boxes,
copies of the registry list, the election statements, the voter’s affidavits, and other documents used in
the said election in said municipalities, in order that this Honorable Court may re-examine and revise
the same;

3. That after due proceedings, the election of the respondent, and ________________ for the office
of Provincial Governor ____________ be annulled and that the petitioner be declared duly elected
instead;

4. That the expenses and costs incurred in these proceedings be assessed against the respondent.

________ City, Philippines, this _____ day of _______2010.

Name _______________________________
Appointment No. _____________________
Roll of Attorney No. ___________________
PTR No.____, ____ (date and place of issue)
IBP No. ____, ____ (date of issue) (chapter)
Office Address________________________
Email Address ________________________
Contact No. __________________________
MCLE Compliance (or Exemption) No._____

Copy Furnished:

_________________________________
Name and address of adverse counsel
(Personal Service)

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