Republic ofthc Philippines

COMMISSION ON ELECTIONS
Manila

CERTIFICATE OF CANDIDACY FOR

VICE-PRESIDENT
INSTRUCTIONS: (Read well before filling up this form.)
!. File this in FIVE (S) LEGIBLE copies.
2. File this certificate of candidacy with the Law Department, COMELEC Main Office, Intramuros, Manila, starting November 20, 2009 up to
midnight of November 30, 2009.
3. "Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November. 30, 2009, no
certificate of nomination shall be accepted.
4. Titles such as 'Dr., Atty., Don, Ginoo, Senor, Datu, Hadji, Sultan, Bai, Senora, Kapitan or similar titles are expressly prohibited.
S. This certificate shall be sworn before a notary public or any official authorized to administer oath. COMELEC officials are not autnortzec to
administer oath.

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5. MY DATE OF BIRTH IS :
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6, MY PLACE OF BIRTH IS :
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7. I Ai'l OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination)
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9, MY RESIDENCE!
ADDRESS IS: . 9.1 Province
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11. I'1Y POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as No,9) 12. I AM A REGISTERED VOTER OF
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13. tW PERIOD OF RESIDENCE IN THE PHILIPPINES BEFORE MAY 10, 2010 IS : .- -_ - _-- .. - .

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14. 1AM A NATURAL BORN FlUPINO CrnZEN.

15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN
COUNTRY. .jF
16, I ~M ELIGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO,
17. I WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUB IC OF THE
PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANC THERETO. r
WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMUL ATED BY THE
DULY CONSTITUTED AUTHORITIES. I IMPOSE IS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR URPO E O~~EVASION.

I hereby certify that the facts stated herei

['JOV J U 20i9.
SIlBSCR15EDAND SWORN t9. b~fore me this day' f N
aC/!dentification Card No. pp X)c 01; 17377lssuedbv: J.' 4kl..f.!....!'9"-..!Ud.L-

Dee. No. l.n..~ __ ; CDI~1rn- .sslon No~

Page No, gs- ; Notary I ubhc forMakatl City
Book No. ~; (Officer Authorized to Administer Oath)
Un::t December 31,2009
Series of 200_,
No. 913 We", rate Plaza, H.V. Deja Costa St.,
Sai eoc Village. Makati City
,oll No. 47451 / 5-7-02
PTR No, 1578499 I r- 13-09 ! Makati City
LaP No.i 776143 / 1-16-091 Makati Chapter
MCLE No. OOl1M7