Republic of the Philippines

COMMISSION ON ELECTIONS
Manila

CERTIFICATE OF CANDIDACY FOR

VICE-PRESIDENT
INSTRUCTIONS: (Read well before fillingup 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 3D, 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, Bal, Senora, Kapitan or similar titles are expressly prohibited.
S. This certificate shall be sworn before a notary public or any official e uthortzed to administer oath. COMELEC officials are not authorized to
administer oath.

l.llast Name :.·.0.if.T/ii".:~·.·:~.T_.·~·.·.·' ~':.:..';::::::. f.::~::;·.:1-.·.::·,:-.:.·.·.1

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12 first Name :::::~::r:'.::::::::~'.:[::1'.: :~::I:::

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;: : 'M;n;h :-:.
6. MY PLACE OF BIRTH IS :
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2. I A~1 GENERALLY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME City/Mun I7I.A. $" "'~/""'--"J
(Indicate

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only one nickname

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or stagename)

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STATUS
tI n IV

IS:
7. I AM OFFICIALLY NOMINATED BY: (Attach Certtflcate of Nomination)
o D Widow/er .

o
Single
............................. !flib.. ,Kf(f.tJ!1~ttti,.P1.1<TY .
. PoliticalPa ) Married 0 LegallySeparated
9, MY RESIDENCE!
ADDRESS IS:
9.1 Province o Annulled / Divorcee

11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as No.9) 12. I AM A REGISTERED VOTER OF

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...~eN.,.u1MJ.fJ.IN .. .f]'I. S'lrN..IftiJJLNJV .. VJ.~WJ:~.~.,-Plt~!k.
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Precinct .. .oJ. 7:.L/fB. .
13. MY PERIOD OF RESIDENCE IN THE pHILIPPINES
.
BEFORE MAY 10, 2010 IS :
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:/:'1:
Bgy

City/Mun .J1J.fdt117it!1. .
: () ~; No. of Months . .
.(d I ,
, No. of Years
Province .£trY!TJi _ , .
~--------------------------------------------------------4
14. I AM A NATURAL BORN FIUPINO CfmEN.
I
I DTHUMBPRIIIIT
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15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN
COUNTRY.
16. I AM EUGIBLE FOR THE OFFIeE I SEEK TO BE ELECfED TO.
1.7. I WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE
PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE. THERETO. I
WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE
DULY CONSTITUTED AUTHORITIES, I IMPOSE THIS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OFvEVASION. J'~.

Thumbprint

I hereby certify that the facts stated herei'l.,are true andcorrect <ffm~..;oe

SUBSCRIBED ANR SWORN ~o befo!~ me th~lY

ere/Identification Card No. tJl:t - \k J)(jQ1W Issued
0 Yai:)Nie_09~;
by : J!.~\(\ O~
Ch:vIqOF~I11{J.t3
On:
SANa~txhibiting
'lOll
to his/her Drill U'~ LiuVl £ e

Doc.NO'~'
Page No. ;
Book No. ; to Administer oathf\TTY. BE
ser:esof~. NO AHY PUBLIC
\ COM.MISSIONED UNfIL J1 'EC 200.9
ISP LR N No. 07232 - RIZAl-SAN JUAN
P]fR No. 007G:WQ - (11/06/09- SANJUAN
.. ROLLNo. 54:[~47