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Parish Pastoral Council for Responsible Voting

Rm. 211 / 223, Pius XII Catholic Center, 1175 U.N. Avenue, Manila, Philippines Tels: +632 524 2855; 536 5819 Fax: +632 528 0149 Email: ppcrv91@yahoo.com Website: ppcrv.org

PPCRV Volunteer Registration Form


Name: Last Citizenship: Residence Address: Barangay Tel No: Residence Occupation E-Mail Address Office Municipality or City / Province Fax No Employer Facebook / Twitter Account Cellphone / Mobile Phone No. Civil Status:
First MI

Nickname

Age

Gender:

F Date of Birth:

Previous experience in monitoring elections: None Yes. If yes, when and where? Preferred Activity Assignment
AMVATT (Accountable Materials' Verifiable Audit Trail Team) VAD (Voters' Assistance Desk) PPP (Polling Precinct Pollwatcher) SWOT (Special Witnesses of Truth) TAG (Technical Assistance Group) PPG (Power Prayer Group) Voter's Education Team UPCE (Unofficial Parallel Count Encoder)

I am a registered voter: Yes No

Legal Team Logistics Team (Food, Supplies, etc.) Transportation & Communications Team Ways & Means Team PEP (Post-Election Pollwatcher) Media Liaison Work Team Secretariat Team Others: _________________________

I pledge to work for the promotion of responsible voting and responsible citizenship as a faith-response to the call for political renewal and social transformation to promote social justice and equality. I further pledge to protect and strengthen the process of Clean, Honest, Accountable, Meaningful and Peaceful elections in a non-partisan manner, in the service of God and country. In this regard, I will not actively campaign in favor of any candidate or party. The above data are true and correct to the best of my personal knowledge and / or based on authentic records. In the event that I choose to become involved in partisan politics or decide to take on the noble task of seeking an elective position in government, I shall consider myself automatically resigned from the PPCRV and return my membership I.D. card. All my labors for CHAMP Elections I entrust to Christ. So help me God.
Applicant's Signature / Date

Recommended By: (PHOTO) Approved by: Noted by:


Submit two (2) 1" x 1" photos

Membership I.D. Number:

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