PERSONAL INFORMATION FORMAT

CANDIDATES AND PRE-CANDIDATES

BASIC INFORMATION
NAME: DC:

ADDRESS: PHONE:

E-MAIL: CELL PHONE:

PROFESSION OR OCCUPATION:

SCHOOL LEVEL:
PRIMARY SECONDARY PROFESSIONAL POSTGRADUATE
OTHER
INSTITUTION:

OBTAINED TITLE: YEAR:

POLITICAL INFORMATION
Have you held elected office? YES NO Which one?
Period
Have you previously aspired to elected office? YEAH NO
Which? Period
For which party and/or movement?
Are you disaffiliated from your former party or movement? * YEAH NO

POSITION TO WHICH YOU APPLIED TERRITORIAL CIRCUMSCRIPTION:

REQUESTED DOCUMENTS
STATEMENT
□I,Resume
________________________________________ □Authorization in favor of Colombia Justa Libres!
□5 Photocopies of Identity Document □Certificate of disciplinary record (Personality)
taken into account as a candidate for
□ Sworn Declaration of Assets and Income □5 3*4 black and white photos.
□ Disaffiliation from the party and/or movement. *If □Letter of pastoral coverage and/or personal
apply recommendation
□Knowledge of the Norms and Rules of Colombia Justa □Be an affiliated member of the party.
Libres □Letter of request addressed to the party
□ Declaration that there is no demand for food directors
□ Declaration that you do not have any type of □Accounting book
disability □3 Legal size plastic folders, black.
□Certificate of Fiscal Responsibility (Comptroller's □List of existing criminal proceedings,
Office)
□Certificate of Disciplinary Record (Procurator's
Office)
___ , I declare that I voluntarily submit this request to be
______________________________________, and that for no reason am I subjected to any pressure, other than my own will. In the
same way, I submit to the requirements and obligations that the COLOMBIA JUSTA FREE PARTY demands of me to comply with the
provisions of the law. Furthermore, the COLOMBIA JUSTA LIBRES PARTY has no obligation to grant me the respective
endorsement, if it does not find me suitable according to its criteria as warranted and in accordance with the statutes, to be able to aspire
to the candidacy for this party.

HABEAS DATA
1. Colombia Justa Libres acts as responsible for the processing of personal data of which I am the owner and
may collect, use and process my personal data 2. My rights as the owner of the data are provided for in the
constitution and the law, especially the right to know, update, rectify and delete my personal information, as
well as the right to revoke the consent granted for the processing of personal data and sending of
information. . 3. Colombia Justa Libres guarantees the confidentiality, freedom, security, veracity,
transparency, access and restricted circulation of my data. 4. Taking into account the above, I voluntarily,
prior, explicitly, informed and unequivocally authorize Colombia JustaLibres to process my personal data in SIGNATURE OF THE RIGHT INDEX
accordance with the personal data processing regulations, in the same way I authorize the sending of
CANDIDATE
information to telephone numbers and emails. supplied. 5. I have provided the information obtained for the
processing of my personal data and sending information voluntarily and is true.

EXCLUSIVE SPACE FOR THE COMPLETION OF COLOMBIA JUSTA LIBRES

CANDIDATE APPROVAL: TERRITORIAL CIRCUMSCRIPTION: CONSECUTIVE: