Commission on Elections

October 30, 2023

Barangay and Sangguniang Kabataan Elections AIE
Authority to Incur Expenditures

Date filed: N/A

The undersigned candidate hereby grants the authority to incur election expenses to
his/her agent N/A N/A N/A N/A
(Surname) (First Name) (Middle Name) (EXT
)
Said person is authorized to incur expenses for/on behalf of the candidate for the upcoming October 30, 2023
Barangay and Sangguniang Kabataan Elections. He/she is only authorized to incur expenses with a maximum
limit of:
N/A (₱). N/A
(Amount in words) (Amount in figures)

NESGIE DYAN P. CAYUGA

[SIGNATURE OVER PRINTED NAME OF CANDIDATE]
Date signed:

CANDIDATE INFORMATION: Accomplish this part only if you are a candidate)

NAME OF CAYUGA NESGIE DYAN PERALTA N/A
CANDIDATE: (SURNAME) (FIRST NAME) (MIDDLE NAME) (EXT)
KAGAWAD,
ELECTIVE
POSITION:
SANGGUNIANG CONSTITUENCY:
KABATAAN BARANGAY TALAGUTON
Contact
information: Mobile No.: 09097890551
(Phone no. and Email Address: nesgiec@gmail.com
e-mail address)

AGENT INFORMATION: (Person authorized to incur expenditures, whose name appears in main body)
Home/Office N/A
Address: N/A
Telephone and N/A
E-mail Address: N/A
Mobile No.:

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES )
City/Municipality of __________________)

BEFORE ME, on (date) and in (city/municipality) , personally appeared the following persons with competent
evidence of their identity:
Name ID Type Expiry Date Issuing Authority

said persons acknowledged under oath to me under penalty of law, that the whole contents of this document are true and the
same are their free and voluntary acts and deeds.
AUTHORIZED PERSON TO ADMINISTER OATH