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Republic of-the Phm(~')es

COMMISSION ON ELECTIONS
Manila

CERTIFICATE
VICE-P'
INSTRUCTIONS: (Read well before filling up this form.)
1. File this in FIVE (5) LEGIBLEcopies. ,
2. File this certificate' of candidacy with the Law Department, COMELEC1>lainOffice, lntramuros, Manila, starting November 20, 2009 up to
, midnight of November 30, 2009. ' ' "
3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After mid(1ight of November 30, 2009, no
certificate of nomination shall be accepted.
4. TItles such as 'Dr., Atty., Don, Ginoo, Senor, Datu, Hadji, Sultan,'Bai, Senora, Kapitan or similar titles are expressly prohibited.
5. This certificate shall be swom before a notary public or any official authorized to administer oath. COMELECofficials are not authorized to
administer oath. '
" , I, " ' "

I ,her~bv announce my can~ljdacy fpr the posjtion of VICe.~.PRESIOENT, Republic of the Philippines, in the Mav 10, 20
elec:tioQs; ~nd after l1avin!Jbeen sworn to In ~c:c()rdance with{aW, hereby state the following:
'~ ~
1. MY NAME IS : 3~MY GENDER IS: 4. MY AGE IS

1.1 Last Name


;---")----l----r---'----r---..,----r---'----r----'----r---y--,,-,----'----r----'----,----,----,----I----t----r---'----r---'
iLieiG;A;R;oiAi ; ; i ; i ; ; 1 ,1 ~1 ,1 ,j 1c ~1 ,1 1 1 1
D Male ~Female 1'!l _q~_~l~
, __ --' , , ~ , ' c , , ' , ,, , ~ , ,----,---, 5. MY DATE OF BIRTH IS:
r---T---:~---r---T---r---T---:---T---;---T---:---r---r---1--:-r----;----1----:----1---:----;----:---1----;---:' .
1,2 First Name l~j9jB_l~j!'!L_Lj L_L __L_L__ ! L_j Lj __ J L_j_j_ L __ L_J_.Li
r----,----'----r----'----j----,----r----'----'----r---j---,,----...,----'----r----'----I----'----1----'----1----r---'----r---,
_ 1,'o_-_-_-i_,_-_-i -12_-_-_·,:
.. _ _
-_8_-_1-
_
1,_i_-'_-j,-_~_-_-,[,_-'_-_T,,..._-_-:
~
1.3 Middle Name l~1~lylTLtl~_rl~LL_jL1JJ LJj __
L_Lj L_L__
l Lj Month, Day Year
2. I AMGENERALL Y.OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME 6. MY PLACE OF BIRTH IS :
(Indicate only one nickname or stagename) City/Mun ~!!N-'-!~·!I!L _
f{;IQlif_~lNL~_-CI~~I~-~r~~J~~~r~~L~L~I~~~L~LT~~~L~I-~I~~I~~~
r-~~--~~~~~~~~~~~~~~~~~~~~~~~~~~~8.MYCIvILSTATUSIS:
M§_T~~::_M~~~_~ Province __

7. I AM OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination) , .. D Single D Widow/er


----.------IY/:!T~-~t!~~'-$.r-J!-'Aq'¥,~i:a-~art~6~rr1J~-'y-----'-'Y_pt;>__________________ 0 Married 0 Legally Separated
9. MY RESIDENCE! i" ---1----r-- ~-,----,----r-- -'----r ~--1----r- --,-- --t ----,.-- - '----r- --,----,.. -_Of ---,

ADDRESS IS : 9.1 Province it~(~~i.~L~j9L


__
]Ml~L~_Lj~_l~j LLJ __L_Lj 0 Annulled / Divorced

:,9j~A-~l,{;1,~A~~ir,-:f,o----i,--N--~,---l,-G---;,--1--r,T---1,-y:'--:,---;,----:,----:, ~·j,--p-~l,:1,gT?x[,-~-i,-~1,-~-i,-o---1,---T,
,·_'"~ ~~_, ,~~ , , c , ' L ' ' L ' , ,~~
---;,----[,---1,----[,---r,---1,
,_~,~,~, " , , , , , , ,
~~_I~_~_~=~_~~_~~_~~~~:_~~_
10. MY PROFESSION
, OR

~~~!P~;:~e.
9.4 House No./Street / Subdivision OCCUPATION IS :

:~li::::[p[~j~I~9~]R:l~L:[i;_7LI~[~[iJ:~LJH]if~J:~$.L:[~I~ ??fffl~J~l!e~(~y_c.
__
11..MY POST OFFICE ADDRESS FOR ELECTION PURPOSES IS : (Could be the same as No.9) 12. I AM A REGISTERED VOTER OF

$~Nbre ~:ffJ-~-PH!,~tep--'!Y.~s.,---}~~~<!L
__ _.~~~__
_ . .__ Precinct 740
1~ ""IY PERIOD OF RESIDENCE IN THE PHILIPPINES BEFORE MAY 10, 2010 IS:
Bgy _-}!!~_trii-,;-_-~~~~_-~~~_-~~~
r----;----"! City/Mun _,__ M~l~f!J?'1Q.ty. _
101,3; No. of Months
L.. __ .'_ ~ __ .! ,
No. of Years
Province •. _M_~tr~~-'A~hllq
, ,
1~. I AM A NA1URAL BORN FIUPINO CrnZEN. ROLLED THUMBPRINT
15. I AM NOT A PERMANENT RESIDENTOF, OR IMMIGRANT TO, A FOREIGN
COUNTRY. ~
16.I-AM ELIGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
17. I WILL SUPPORT AND DEFEND THE CONSTI1UTION OF THE REPUBLIC OF THE
PHIUPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. I
WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE
DULY CONSTI1UTED AUTHORITIES. I IMPOSE THIS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.'
Thumbprint
-----~-~~~~~~-~~~~-~~~~-~~~;~~-~~~~~-~~;~;
~;;~-~:.~I~~:-
-----------------------:------
OR GAJt.DA
Signature of Candidate Over Printed Name

. . OATH
SUBSCRIBED ANDSVYORN to before me this 22L~ay of Novem .
~/Id~tification ~ No. 'II W 000 j 8 I 5 Issued by : .,.,J;O;;:z:A-;;....·-!.M4~~"'-'"+ 11'f' ,1'\P"~~IeJf-I=>::,-L.-
r'A5SPoR.-r .
Doc. No. J0 .
Page No. --.-J''-'5<-- _
Book' No. ---,OI~----, Iter 'A Cl'~ster Oath)
Series of 2001. , iPJ.'R N .~_)~ 01·0~,-Of!; Manila .
mp
NO. -e,u")) 01-04·08; Quezon City.
, ::Roll of Attorneys No. 34201
Until December 31, 2009
. smte l05-B, ECJ Condo., Real st.,
cor. ArzobiSj:io St., Intramuros, 1002MUII1. ,

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