Republic of the Philippines

xxxx

xxx faculty union

ELECTION COMMITTEE

In the matter of Withdrawal as

Candidate for the October 8, 2017
xxx Faculty Union Election

xxx
Petitioner
x-------------------------------------x

SWORN DECLARATION
FOR WITHDRAWAL AS CANDIDATE

I, xxxx of legal age, Filipino, married and with residence

and postal address at xxxx after being duly sworn to in
accordance with law, depose and state that:

1. I am a member of the Faculty of the College of Arts and

Communication with a rank of Assistant Professor III.

2. I am a bonafide member of the xxxx Faculty Union.

3. I have filed my Certificate of Candidacy for a member of

the Board of Directors on September 26, 2017.

4. Due to my hectic schedule, I have determined that I will

not be able to be an effective member of the said Faculty
Union in case that I will win a slot in the election.

5. As such, in order not to disenfranchise the right of other

union members to run and occupy a slot of the Board of
Directors, I hereby manifest my irrevocable withdrawal of
my Certificate of Candidacy, effective immediately.

6. Further I manifest, that my name be stricken off the list

of the Certified List of Official Candidates, and a new list
be issued to that effect.

7. I am executing this sworn declaration to attest to the

truth of the foregoing statement and to support my
motion to withdraw as candidate in the October 9,2017
Faculty Union Election.
 IN WITNESS WHEREOF, I have hereunto set my hand this
2nd day of October 2017 at xxxx.

xxxx
AFFIANT

SUBSCRIBED AND SWORN to before me in the

Municipality of xxxx this 2nd day of October 2017, affiant being
personally known to the herein notary public need not be
identified by any other documents as proof of his identity,
that he is the same person who personally signed before me
the foregoing Sworn Declaration and acknowledged that he
executed the same.

Doc. No. _________;

Page No. ________;
Book No. _________;
Series of 2017