NOMINEE No,_L the Nat dep tructions Prepare this form in (5) legible copies attach thems io the Cetificate of Nomination submit to the Law Department, COMELEC, Intramuros, Manila, copy ———— fiemished the Clerk ofthe Comission. CERTIFICATE OF ACCEPTANCE OF NOMIN, TION | RONALD GIANCARLO L. CALPE MAa bonatide member of DUTY TE _YovTh PABTY-LIST _(party-list group), hereby — accepts omination as its party-list representative in connection with the May 13, 2019 tional and Local Elections, and after having been sworn to in accordance with law, pose and state the following: 1. FULLNAME:__CADEMA, poVkUD GAD CAPLD_LAPITAN (Gumame/ First Name/ Maternal/ Maiden Name) NAME OF — PARTY/SECTORAL ORGANIZATION/COALITION: DVTERTE YOUTH PAPTY-LisT - = 3. DATEOF BIRTH: frau 12, 425 PLACE OF BIRTH: _C&UAMOA.C\T/ 4 AGE 5 GENDER __H1 6 CIVIL STATUS:_#)_ IF MARRIED, FULL NAME OF SPOUSE DVCICUE page DOCTOR suave? (Maternal/ Maiden Name) 1AM A NATURAL-BORN FILIPINO CITIZEN. I_HAVE EXECUTED A SWORN RENUNCIATION OF FOREIGN CITIZENSHIP. (IF APPLICABLE) T A PERMANENT RESIDENT OF, OR AN IMMIGRANT TO, A ¥ COUNTRY. 10. PROFESSION OR OCCUPATION_PuBic_S EVIE 11. RESIDENCE Cosa (ONTACT NO. FOR ELECTION PURPOSE:_| 13.NO. OF YEARS RESIDENCE IN THE PHILIPPINES IMMEDIATELY PRECEDING THE MAY 13, 2019 NATIONAL AND LOCAL ELECTIONS: 3 14. [AM A REGISTERED VOTER OF PRECINCT NO. aa i 15. AM ELIGIBLE for the office for which I am nominated as I possess all the legal orf rsvedod cfeslq GERTIRED macune coevConstitution of the Philippines, and will maintain true faith and allegiance thereto; | will obey all the laws, legal orders and decrees promulgated by the dluly constituted authorities of the Republic of the Philippines; and I impose this obligation upon myself voluntary, without mental reservation or purpose of 16.1 give consent to the processing of the information stated herein by the Commission on Elections for election and other purposes as may be provided by law, such as BP. Blg. 881 and R.A. No, 10173 also known as the Data Privacy Act of 2012, among others; T hereby certify that the facts stated herein are true and correct of my own personal knowledge MAY 1.22019 _ 2018 (cate Gide — Pov e0 _Gide_CAp4D_L. CHEDE MA (Printed Name & Signature of Nomines) (RIGHT HAND THUMBMARK) MAY 12 2018 | ARRRRRRP AND SWORN to before me this __day of 2018, at n _ affiant exhibiting to me an Identification document/card which contains a photograph and signature bearing No. __ ____ issued by Doc. No. 315. eo Hak iy Page No. 64 Book No._[ 5 ora, ras Gena te Series 20 ano. evo Net ta "4 IBF Recap No. 06008 / ery 8 2099 / Maka PTR No 7342076 Jani 62019 Nota £1.00 documentary stamp) NonceypscLatn EM A nd sete porn RYE scumene luster pertinent ecumentestaches theres thot ave shar! ty th OO enlace with exiting laws and rus, ad i conform wth the Data Pray Act ney: NO TITS) and te Implementing le ad Regular, a well as the pertinent rca the Naval rvacy Common ve inde und to comply wih aids ules and regulations, 1505 ent ott ful CERTIRED stars