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Republic of the Philippines

COiVUVUSSION ON ELECTIONS
Manila ~.

CERTIFICATE OF' CANDIDACY FOR


~ENATOR
INSTRUCHONS: (Read well before filling up this form.)
1. File this In ·FIVE (!:i) LEGIBLE copies; . .
2. File this certificate of candidacy with the Law Department, COMELEC Main Offlce,' Intramuros, Manila, starting November 20, 2009. up to
midnight of November 30, 2009.' .' . . . .
3. Attach to tills certmcete the Certificate of f>'a,ty Nomlnalion unless you are an independent candidate. After mldl1lght of November 30, 2009, no
certificate or nomination shall be accepted.
4 .. Tlties such as 'Dr., Attv., Don, Glnoo; Sef'lor, Datu, Hadjl, Sultan, Bal, Senora, Kapitan or similar titles are expressly prohibited. . .
5. This certificate shall be sworn before a notary public or any offlclal authorized to administer oath. COMELEC offldals are not authorized to
administer ==
oat:::h::,' ....,...=-==

11: MY POST OFFICE ADDRES$ FOR ELECTION PURPOS'ES IS : (Could be the same as No.9) 12. I AM A REGISTERED VQTER OF .
POBLACIONf PORAC, PAMPANGA Precinct 9..9.<2~~ , , - .
1~..~~.;~~~~~.:;~ ..~~-~;~.~.~~~.~~-.;;~~.~~;~~;;~~~.~~~~~~.~~~~. ~~~.;~~~.;~.: --... Bgy ~S?~~~S;!.!?~
..- - -
r"'T"l ["'r'''] Clty/Mun ~.9..~~ .
i 0 !6 ,1 No.?f
L...•....
Mo~ths !•..........
514 ,i No. of Years Province .. PAl'1PANGA ,.. · .

'<~~4. I AM A NATURAL BORN FIUPINO ClnZEN.


15. I AM NOT A PERMANENT RE?IDENT OF, OR IMMIGRANT TO, A FORE1GN
COUNTRY. l'
:1.6. I AM EUGIBLE FOR-THE-OFFICE I SEEK TO BE ELECTED TO.
17. I WILL SUPPQRTAND'DEFEND THE CONSTITUTION OF THE REPUBUC OF THE
. PHILIPPINES AND WILL MAINTAiN TRUE FAITI;AND ALLEGIANCE THERETO. I
WIll. OBEY THE LAYVS, LEGAL ORDERS AND DECREES PROMULGATED BY THE
DULY CONS'I1TUTED AUTHORmES. I IMPOSE THIS OBUGATIO
VOLUNTARILY, WITHOUT MEN,TAL RESERVATIO PU"
SELF
F EVASIO .
it:
..k~·.-

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. ". OATH City of S3n Fern:md::. ..


SUBSCRIBED AND SWORN to before me this 24tb day of November, 2009, at ~ r affiant exhibiting to me his/lier
erC/Identlficatlon Card No. JJRX:C5851· Issued by : .D:;J;:adJrent of Fbr:eigIL on . ....&::lll~ 18, :xm .
• Affai
Doc. No. . 3l~1t"- rs
Page No. _~64"",-_~ __ , F
80CiI< No .._--::VTlt...L/I'-- _ (Officer uth lzed to Administer Oath)
Series of 4009. otary Public
~l December 31, 2009
PTR No. 6496588
IBP No. 07061
Not. Com. No. 23-08

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