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LA~' DEPARTMENT ~
Republic of the Philippines
I COMMISSION
Manila
ON ELECTIONS
CERTIFICATE0 i~
~~~~~P=RE~S~ID~E~N~T~~~~~4~
INSTRUCTIONS: (Read well before filling up this form.)
1. File this in FIVE(5) LEGIBLEcopies.
2. File this certificate of candidacy with the Law Department, COMELEC Main Office, Intramuros, Manila, starting November 20, 2009 up to
midnight of November 30, 2009.
3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
certificate of nomination shall be accepted.
4. TItles such as 'Dr., Atty., Don, Ginoo, Senor, Datu, Hadji, Sultan, Bai, Senora, Kapitan or Similartitles are expressly prohibited.
5. This certificate shall be sworn before a notary public or any official authorized to administer oath. COMELEC officials are not authorized to
administer oath.
, J ' ., ,
l herebll/anno\lnc:e mv
c:aJ;ldidac:y for thE: posjtiqn of PR~IDENT, Republic of the Philippines, in the May 10, 2010 .
elec:tionsi 'and after having been sworn to in accordance with law, hereby state..,!he following:
-c: ; •
o
1. MY NAME IS :
Male DFemale 49
1.1 Last Name -,
........ '.
5. MY DATE OF BIRTH IS :
1.2 Rrst Name
.. _-.-._-_._.- .... .... - .., __ .
:C:E:N:T:R:AL
. - ' ... ~.. :. - .' ...' ----- .. ---.-- .... - 10. MY PROFESSION OR
9,4 ~ouse No/. St~eetl. Su~divi~lon OCCUPATION IS :
'S:I;T:I:O: A'L;T:O SENATOR
11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the sameas No.9) 12. I AM A REGISTERED VOTER OF
Thumbprint
I hereby certify that the facts stated herein are true and corr
OATH
- SUBSCRIBED _I.NO SWORN to before me this 28thctay of November, 2009, at Quezon City, affiant exhibiting to me his/her
CTCjldentification Card No~TIN NO. 121-211-191 Issued by: On: + _
Doc. No.
pageNo.~
451',~
i
'1~~~t~~~~=-::~J~U~
q N EMMANUEL
Notary Public for and in Quezon City
M. REYES
Book No. ----,~:c..=' __ ~ Expires on 3'\ December 2009
Series of 20c8. IBP No. 736897- "iI14/0B-Tarrac
PTR. No. 5105660 -1/9/09 - pasig
RQII N§. 81922