Republic of the Philippines

COMMISSION ON ELECTIONS
Barangay Board of Canvassers
Barangay _______________, Dumangas, Iloilo

CERTIFICATION
Barangay and Sangguniang Kabataan Elections
October 30, 2023

This is to certify that on _________________, 2023 at ___________________________

__________________________________, after due notice to all concerned, this Board has
conducted the breaking of lots to settle the tie between / among the following:

Name Office No. of Votes Rank

1. __________________________ _________________ ____________ _______________

2. __________________________ __________________ ____________ _______________
3. __________________________ __________________ ____________ _______________
4. __________________________ __________________ ____________ _______________

After the drawing of lots, the results are as follows:

Name Final Ranking

1. __________________________________________ _____________
2. __________________________________________ _____________
3. __________________________________________ _____________
4. __________________________________________ _____________

On the basis of foregoing, we hereby certify that _______________________________

____________________ is the candidate(s) favored by luck and proclaimed thereby as the duly
elected candidate(s) for said position and/or Rank.

Issued this __ day of ____________2023 in Brgy.____________________, Dumangas,

Iloilo.

__________________________ ____________________________
Signature above Printed Name Signature above Printed Name
Chairperson Vice Chairperson

__________________________
Signature above Printed Name
Member-Secretary