AFFILIATIONS: Clubs and Organizations (Inside and Outside the School)

CLUBS/ORGANIZATIONS POSITION LOCATION PERSON-IN-CHARGE

EDUCATIONAL ATTAINMENT: Preparatory, Elementary and Secondary

GRADUATED LEVEL SCHOOL YEAR SCHOOL ATTENDED HONORS

ELECTORAL INFORMATION

PARTY NAME: ______________________________ POSITION IN THE PARTY: _________________________

LETTER OF CANDIDACY

I, whose name appears above, as a student of University of Batangas – Lipa Campus, of good academic
standing and good moral character, hereby run for the position of ____________________________.

It is that I pledge not to clench for power but for the service to cater the common good. I run for this
position, unstrained but voluntarily and whole-heartedly. I’ll play fairly and promise not to commit any
forms of cheating against my opponent just to win. It will be my responsibility to uphold peace and
order, in myself and towards others, inside and outside the school.

SIGNATURES: Signature over Printed Name

Signature of Student: _______________________________ Date: ______________________

Signature of COMELEC Chair: __________________________ Date: ______________________

 Paste recent “2x2”
photograph
(Taken within the last
six months) in this box
STUDENT GOVERNMENT – UB Lipa Chapter

CERTIFICATE OF CANDIDACY

PERSONAL INFORMATION

Name: ________________________________________ _______________ Age: __________

Address: _______________________________________________________________________________

Sex: __________________ Civil Status: ________________________

Birth Date: _______________________________

Birth Place: ___________________________________________

Religion: _______________________________ Citizenship: _________________________

CONTACT INFORMATION

Cellphone Number: _______________________________ Landline: _____________________________

E-mail Address: ___________________________________

FAMILY BACKGROUND

Father: _______________________________________ Occupation: _______________________

Educational Attainment: ___________________________________________________________

Mother: _______________________________________ Occupation: _______________________

Educational Attainment: ___________________________________________________________

Sibling(s) : Brother (s) and Sister (s)

NAME AGE Year/Course School/Work