8/14/2019 Regalado Maambong

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Republic of the Philippines

COMMISSION ON ELECTIONS

. Mallila

CERTIFICATE OF

IrOSTRUCTIONS:(Read.••~I before fillingup this form.)

I I. H I< ! this In FIVE (5) LEG )B LE copies.

I 2. File this certiflcate~ of candidacy with the Law Department, COI~ELEC Main Oflice, tnrrarnurcs, l~ariiIa, starting November 20, 2009 up to

!midnight 0 1 November 30, 2009.

3. Attach to th-is certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight-of November 30, 2009, no

Ice-urcetc of romloancn shall be accepted.

4. Ti tles such as 'Dr., At ty., Don, Ginoo, Se nor, Datu, Hadjij Sultan, Bai, Sefiora, Kaplron or slm}lar titles are expressly prohibited. .

. 5. This certificate shall be sWorn beroee e ~otary public or any official authorh:.edto admnister oath. COMELECcfflelills are not authoriz~d to

llJ1Y P.OST OFFICE.~PORES!'i FOR ELECTION PURPOSES IS : (Couldbe tile same as NO.9:TeleFax: (02)421-11-29

Union Square Condo 145 15th Avenue:-Cubao, Quezon city .-...... , ... . - .. " - - ~. - .., - , .

12. I·AM A REGISTERED VOTE R OF

Precinct ASCLUSTEREDINABgy. $tA.-fuciA:···········e'tr/Mun . -AstURIAs· .

CEBUrovince

,;:

1 7 . 111M OFFICIALLY NOMiNATED BY: (Attach CertifiCateor Nom'nalloll)

"

~t~~~A~G.~AGONG LlPUNAN (KBL} , _ .. ... Ii ie I Parly)

9. MY RESIDENCe{

ADD RE SS IS : 9.1 province· [ ¢ , # . ~ : : y '~ : . ; : :: . :: :: : : : : ; : : : : :: : : : : : :: : : : : ~ :: : :I.9.2 CHy/fIolunicipality 9.3 F3 aran gay

: A : : s : : : i : ~ J . : ~ j : A . : : ~ : [ : ~ ! ' -. 1 : _ _T ~ : r . · ~ r . · . : ~ ~ ;: $ : t : A . ~ ~ : :Q ¢ : ! ~ A ( : : l :: } : : I : : [ : I : : 1 I - ' - ~ ~ ~ · ." - '- · ~ - ' - ' ; ~ ~ ~ ' - '- · ~ ' - ' - ~ E ' - '- ·-'- '~ ·I- '-'~-'-~~~R ~·~.. -'-'.. ~. '-'-'. ' - ' - '- '0. e-s -. ~ • ~ . ~••

9.4 ~looS' No.! Street / Subdivision OCCUPATION IS :.

:N 6 j~ ·E ·T ··:···:··~ ··: ··T ··: ··-:···:·T -:-·~ ···:···:······ · : · · : · · ~ - - · : · · : · · - : · · : · · : · · · i · · : · · : . . . . _ _ . . ~ ~ ~ ~ ~ . _ .

13. I~Y PERIOD OF RESIDENCE IN THE PHILIPPINES BEF ORE MAY10,2010 IS :

i · 0 ~ ~ ( No. or ~Ionlhs [ f/\ No. cr reors

__. 14. I At·1 A NATURAL BORN F I.U PINO C mZEN .

15. I AM NOT A PER~ IANENTRES IDENT OF , OR lfvl fv lIG RANT T O, A FOREIGN

COUNTRY. .

l6. IAt- l E L IGIB LE FO R T HE O FFICE ISEEK TO BE E LECTED TO .

17 .. . . 1 W Ill SUPPORT AND DEFEND TH E CONSTITUT ION Or- THE REPUBL IC OF THE

PHil iPPINES AND W ILL MAINTAIN TRUE FAITH AND •..••.LLEGIANCE THERET O. t

W ILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED B Y TH EDULY CONSTITUTED AUTHORIT IES . I IM PO SE TliIS 06LlGA TlOr~ UPO N MYSE LF

VO LUN TARI L Y, W IT HOUT MEN TAL RE SERV AT ION OR PU OF E VA S ION . .

I h~reby cCltlfy that the facts stated herein a:r~etr~~~~t~~~~~~~~~fl~t-t1-

. . ~ ~ OATHt\() ... SUBSCRIBED ANO.SWORN to before me this L~ : day .or ~ 200~, at ~_, affiant exhib;~ing to me his/her I '

Identlrlcatlon Card No. _ 2313 Issued by IBP. National Office_ 0.1: L.fchm" Member Cebu Chapter. ~

Doc. N o.4< fr ~ ATTY. ClA~ENCil: : l, •.Page No. __ ' ; I 'l l \ ~ ·r ~ f," .. It: V . iI.'li~~t IK 1B O < Jf ;

N o.I NIlll0riled

to\tJmirist er Oath) IIOq

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