8/14/2019 Perfecto Yasay
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VIC :e-
COMMISSION ON ELECTIONSLAW DePARTMENT .
oRepublic of -the Philippines.COMMISSION ON ELECTIONSManila
CERTIFICAT
INSTRUCTIONS: (Read well be fore f ill ing up thi s form. )1.
File this in F IVE ( 5) L EG IBLEcopies . . . . .2 . Fi le th is
certlflcats o f candidacy w ith the Law D e partment, COMEl LECMa
in 0 rtl n g November 20 , 2009 up to
. midnight of November 30, 2009. .3. Attach to this cert ificate
the Cert ltlcate of Party Nom ination unless yO);! are an
Independent candtdate. After midnight of November 30, 2009 , no
certificate of nomination shall be accepted.4. Titles such as
'Dr ., Atty., Don, Glnoo,Sefior, .Datu, Hadjl, Sultan, 8al,
,$eoora, Kapitan or similar t it les are expressly prohib ited .5 .
This certificate sha ll be sworn before a notary public or any
offic ial ! author ized to admini st er oath. COf l ilELEC off idal
s are not author ized to
administer oath.
11. MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Cou fd be
the same as N o:9 )
_ ._J . f J.~P..?BJ_b.t . . . . . l?-bX.fBQ.N:r.. _:r_Q~.~B
-._:1 .?1 .~_ . .~.~.t::1h_l?J_NJ.c.~.~!:.~:r.l?_.~.!:!:... _..13.
MY PERIODOF RESIDENCE IN THE PtUL IPPINES BEFORE MAy (ftt,O, 2010
IS:
Jl 'TQ~'! No . of Months f2 '~.~. :-.i. 2';.,1o . of Years:.. "
,: .,. J . --
1,2. I AM A REGISTERED 'VOTER OF
Precinct . 02.5 .1::-.A._ _: _ .
8gy L.9::::J? .J2.Q J? .aty /Mun .p .!:.y .!':.9. _ .Province
_Qb.Y.hQ~:R.K___ _ .
(,.
I AM A NATURAL BORN FILIPINO CITIZEN:I AM NOT A PERMANENT
RESIDENT OF, OR IMMIGRANT TO, A FOREIGN
. COUNTRY.16 e 1 AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED
TO.17. I WILL SUPPORT AND DEFEND THE CONSTITUTION OFTHEhREPU.SLIC
OF THE
PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEG lANCE
THERETO. IWILL OBEY THE LAWS, LEGAL ORD.ERS AND DECREES PRO
~ULGATED BY THEDULY CONSTIl lJTED AUTHORmES.} IMPOSE THIS OBUGA-mON
UPON MYSELFVOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF
EVASION.
..
RoLLED THUMBPRINT
I hereby certify that the facts stated herein are tru
ame
, O) .TH
SUBSCRIBED AND SWORN to ffefQre me this 24 t Bay of Novejmber,
2009, at P as i 9 C i . t Yal'fiant exhibitin-9 to me
his/herCTC/lder1tificatlon Card No. NlS-88-041169 Issued by: LTO
On: II December 20uo .
~coc . No. ~~ __ -Page . No. I c rBook No.1Seri es of
2-0-0-_-.--9
(Officer Authorized to Admini ster Oat( l)
. c:e:%Jiii?9~ i lE R W IN N. T U G N A
O TA RY P UBLIGUNTIL DECEMBER 31 , 201 0
~POINTMENT NO.16 '1 (2009 -20 fO)ROLLNO.5447t
lOPNO.LRN 06670/RIZALPTR N O.0029S'58/ '5-?90QfM,iv.f\ ,n
