8/14/2019 Susan Ople

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Republic of the PhilippinesCOMMISSION ON ELECTIONSManila

INSTRUCTIONS, (Readwell beforefilling up this form.)1. Filethis inFIVE (5) LEGIBLEcopies.2. File this certificate of candidacy with the law Department, COMELEC Main 'Offlce, jntr arnur os, Manila, starting November 20, 2009 up to

midnight of November30, 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 -oe., Atty., Don, cmoo, serer, Datu, Hadjl, Sultan, Bal, Sefiora, Kapitan or similar uues are expressly prohibIted.5. This certificate shall be sworn before a notary public or any official authorized to administer oath. COMELEC officials are not authorized to

administer oath.

l' hereby announce my candidacy for the position of SENATOR., Republic of the Philippir1!!S, in the May 10, 2010 elec:tibM;~nd after having bean sworn to in actordance with law, hereby state the following: .1.MYNAME.IS:1.1LastName Q .P L : 8

4. MYAGEIS:(,f:ff~l?2r '. :$ : c / i ~ : ; J .

" ", " .1.3MkjdleName ' v :A > :~ : C /~ :~2, I AMGENERAllY OR POPULARLYKNOWN BYTHE NICKNAMEOR STAGENAME'1oieateonlyone nicknameor stogename)

1.2 First Name

DMaie5. MYDATEOF BIRTH IS :

: '2 i . . , , -~lonth Da y Year

6. MYPLACEOFBIRTH IS :Clty/MunAl/.k Ai ILftProvInce

r---------~----~--------~--~------~~--------------------------~~8.MYCIVILSTATUSIS: o Single D Widow/ero Married 0LegallySeparated~nnUlled / Divorced

Full Name of Spouse, if married

7. lAM OFFICIALLYNOMINATED BY: (Attach Certificateof Nomination). .. NAMO/y L,.c-P. . ( J f r < . : n A .II' IPa 'I-:J9. MYRESIDENCE!ADDR!:SSIS: f !>u~ '. . -.. ... .9.1Province9.2. City/Municipality' : ' I + ~ o - ' v ~ ~ 9.3 Barangay. . :S - Y f f ' . M O N : I 4 A -9.4 ~ouse.No/ Street I Subdivi~ion . r .:

. ~ .11. MYPOST OFFICE ADDRESS FOR ELECTIONPURPOSES IS : (Couldbe the sameas No.9)

, . . . -

'3. MY PERIOD OF RESIDENCE IN THE PHILIPPINES BEFOREMAY10, 2010 IS :NO . of t~onlhs N . o r Years

14. I AM A NATURAL BORN FIUPINO C ITIZEN.15. I AM NOT A PERMANENT RESIDENT OF, OR IMM IGRANT TO , A FOREIGN

COUNTRY .16. I AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.17. I W ILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THEPHILIPPINES AND W ILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. I

W ILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THEDULY C ONSTITUTED AUTHORITIES. I IMPOSE THIS OBLIGATION UPON MYSELFV OLU NT AR ILY , W ITH OU T M EN TA L R ESER VA TIO N O R PU RPO SE O F EV ASIO N.

Ihereby certify that the facts stated herein are true and correct of my own personal knowledge.~~~

10. MYPROFESSION OROCCUPATION IS : ..Wf((r~AJ6o12, I AMA REGISTERED VOTEROF( ) - z , - V t ; " ' - A

5T ,I." .M(QIJI t!A .~lTW{)t1

Province ..B.().L.JJM'h.i ...

PrecinctBgyQty/Mun

~ D THUMBJlIUNT .

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p~ OATHnr I["?;-SUBSCRIBED ANDSWORN to before me this __ ay of November, 2009, at l:i .J 'I lr;! G'fo/.!t exhibiting to me his/her

crqldentificatlon card No. -~ Issued by: ~~ : ~ rDoc. No. ~P ag e N o. ~Book No. ~seriesof 200_.