San Sebastian College-Recoletos, Manila

College of Law
LAW ELECTORAL BOARD

CERTIFICATE OF CANDIDACY Affix Latest Photo

LAW EXECUTIVE COUNCIL (2 x2)

DATE OF FILING: ________________________________

I hereby announce my candidacy for the position of _________________________________ on September

___, 2019 Law Executive Council Elections and hereby state the following:
1. NAME:
1.1 Last Name
1.2 First Name
1.3 Middle Name

2. NICKNAME OR STAGENAME: (Indicate only one nickname or stage name)

3. GENDER Male Female 4. AGE: __________ 5. CIVIL STATUS: ___________________________

6. DATE OF BIRTH 7. PLACE OF BIRTH:__________________________________________

8. OCCUPATION:______________________________________________
(MM) (DAY) (YEAR)
9. YEAR LEVEL:_______ 10. ID NO.:_________________________
11. PERIOD OF RESIDENCY:___________ 12. POLITICAL PARTY, IF ANY:_________________________________

13. I AM CURRENTTLY ENROLLED THIS FIRST SEMESTER, A.Y. 2019-2020, AT THE SSC-R
MANILA, COLLEGE OF LAW.
14. I POSSES ALL THE QUALIFICATIONS AND NONE OF THE DISQUALIFICATIONS FOR THE
POSITION I SEEK TO BE ELECTED.
15. I RECOGNIZE THE AUTHORITY OF THE ELECTION OFFICER OR HIS REPRESENTATIVE NOT
TO ACCEPT MY CERTIFICATE OF CANDIDACY IN CASE I FAIL TO MEET THE QUALIFICATIONS
MADE KNOWN TO ME.

I hereby certify that the facts stated

herein are true and correct of my ROLLED THUMBPRINT
personal knowledge.

Right Thumbprint
Signature of Candidate Above Printed Name

OATH

SUBSCRIBED AND SWORN to before me this ______ day of September, 2019 at

_____________________________________, affiant exhibiting to me his/ her Identification Card
No.____________________________, issued by:_________________________________________________ on:_____________________.

____________________________________________________________
(Officer Authorized to Administer Oath)