DepEd Division of Tacloban City

Leyte National High School

SUPREME STUDENT GOVERNMENT
COMMISSION ON ELECTIONS
Tacloban City
2x2 ID picture
CERTIFICATE OF CANDIDACY
I hereby announce my candidacy for the position of __________ in the February 2018
LNHS Supreme Student Government Election, and after having been sworn to in
accordance to the Revised Standard Constitution and By Laws of the SSG in
Secondary School, hereby state the following:
Part 1 PERSONAL INFORMATION (To be filled out by Aspirant)
Name
Gender
Last Male Female
First
_______ Height ______ Weight
Middle General Average: ___________
RESIDENCE/ADDRESS DATE OF BIRTH
Province - -
City/Municipality Month Day Year

PLACE OF BIRTH
Barangay
City/ Mun ______________
Province ______________
House No./Street
Contact Number: _________________

PARTY:
In a brief paragraph, WHY DO YOU WANT TO RUN Achievements that will support your candidacy
AS AN OFFICER OF LNHS-SSG?

Part 2 OATH

I do solemnly swear that the above statements regarding my person are true and correct; that I possess all the qualifications and
none of the disqualification of an aspirant leader of the school; that I have no pending application for membership in any other
organizations; and that I am not registered in any club organizations here in Leyte National High School.

DATE ___________________________________ _______________________________

- - Signature of Applicant Over Printed Name Parent’s Signature Over Printed Name
Month Day Year

Part 3 TO BE CHECKED BY THE COMMISSIONERS

APPROVED DISAPPROVED DATE Please attach a photocopy of

Month Day Year your present Report card.

c Batch 2016-2018 ComSec