APPOINTMENT OF WATCHER

October 30, 2023 Barangay and SK Elections

1’x 1’
Photo of
Watcher

_____________________
Signature of Watcher

I __________________________________________ (Name of Candidate), of legal age,

Filipino, and resident of ____________________, Barangay ________________,
Sugbongcogon, Misamis Oriental after having been duly sworn to in accordance with
law, state as follows:

1. On _________________________, I have filed my Certificate of Candidacy for

Position of _______________________________ of Barangay
_________________________, Sugbongcogon, Misamis Oriental.

2. I hereby appoint _________________________________ (Name of Watcher), whose

photo and signature appears above as my WATCHER;

3. As such he/she is assigned to (Check whichever is applicable)

Cluster/ Group No. ______
Barangay Canvassing Center ___________________________________

4. The above-named WATCHER possesses all qualifications and none of the

disqualifications as a Watcher,

as such, I certify the he/she is:

a. Is a registered voter of the barangay or a member of the Katipunan ng

Kabataan, as the case may be, in the assigned barangay;
b. Is of good reputation;
c. Has not be convicted by final judgement of any election offense or of any
other crime;
d. Knows how to read and write Filipino, English, or any of the prevailing local
dialect and;
e. Is not related within the fourth (4th) civil degree of consanguinity or affinity to
the Chairperson or any EB Members in the polling place where the watcher
seeks appointment.

IN WITNESS WHEREOF, I hereunto affix my signature this ____day of

_______________, 2023 at _______________________, Misamis Oriental, Philippines.

__________________________________
Name and Signature of Candidate

SUBSCRIBED AND SWORN to before me this ___ day of

__________________,2023 at _________________, affiant exhibited to me an Identification
document /card which contains a photograph and signature bearing No.
______________________ issued by ____________________ on _____________________.

_____________________________________
Officer Authorized to Administer Oath

Doc. No: ___________

Page No: ___________
Book No: ___________
Series of 2023.