Resolution 11045
Resolution 11045
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Republic of the Philippind3' :'
: - -*-.-.tri4r. -
COMMISSION ON ELECTIONS
Intramuros, Manila
REPRESENTATION AND
PARLIAMENTARY SYSTEM IN THE Promulgated: Augus t 28 , 24.
BARMM; AND 3) FILING OF
CERTIFICATES OF CANDIDACY AND
NOMINATION OF AND ACCEPTANCE
BY OFFICIAL CANDIDATES OF
REGISTERED POLITICAL PARTIES OR
COALITIONS OF POLITICAL PARTIES
IN CONNECTION WITH THE MAY 12,
2025 NATIONAL AND LOCAL
ELECTIONS AND BARMM
PARLIAMENTARY ELECTIONS
RULE I
POLITICAL CONVENTIONS AND SWORN LIST OF AUTHORIZED
SIGNATORIES WITH SPECIMEN SIGNATURES
In case of con-flict or where there are Wvo (2) or more Swom Lists of
Authorizecl Signatories submitted by the registered PP, the Sworn List
submitted by the Chairperson or President, shall prevail.
RULE II
PARTY-LIST REPRESENTATIVES
Nomination of less than ten (10) nominees shall not be accepted and
shall not be given due course by the Commission.
a. Nominee number;
b. Name of the nominee;
c. Name of the PP, sectoral Party, organizatton or coalitioni
d. Date and place of birth of the nominee;
e. Age;
f. Sex;
g. Civil Status;
h. Profession or occupation;
i. Address or residence;
j. Contactnumber;
k. Number of years residing in the Philippines immediately
preceding the election;
l. That the nominee is a natural-bom Filipino citizen;
m. That the nominee has executed a sworn renunciation of foreign
citizenship (if applicable);
Page 6 of 38
The one (1) year prohibition from being hired or rehired in a public
office after their partyJist organization fail to secure the needed votes to
qualify them for a seat in the House of Representatives, shall not applv to
them.
For this purpose, the Law Department shall redact the personal
sensitive information of the nominee from the fourth copY of the CON-
CAN, scan the redacted CON-CAN into a PDF format, and save them in
accordance with the guidelines of the Commission.
The list shall not include any candidate for any elective office for the
N.lar 12,2025 NLE and BPE.
Page 9 of 38
The party-list group shall cause the publication of its new and
complete list of nominees in two (2) national newspapers of general
circulation within five (5) days from its filing with the Law Department.
The party-list group shall submit proof of publication of its list of
substitute nominees with the Law Department within three (3) days from
completion of said publication. No substitution shall be valid without
compliance with the requirements on publication and submission of proof
thereof.
Page 10 of 38
After the election, even if the list of not less than ten (10) nominees is
exhausted, substitution of nominees shall no longer be allowed.
RULE III
PARTY REPRESENTATIVES
IN THE BARMM PARLIAMENT
I Article lll, Rule Vll, Section 5, Comelec Resolution No. 10984 (Promulgated on APril 17. 2024)
I Section 2, Rule Vll and and Se.tion 1, Rule IX, ibid-
Page 11 of 38
The form of the Sworn Authority to Submit the List of Nominees and
Certificate of Acceptance of Nomination with Affidavit of Non-Affinity is
attached as Annex "F".
SECTION 78. Period and Place for Eiling of List of Nominees and
Certificate of Acceptance of Nomination utith Affidaait of Non-Affinity. -
The List of Nominees and Certificate of Acceptance of Nomination with
Affidavit of Non-Affinity of RPPP or Coalition shall be filed together with
the Manifestation of Intent to Participate in the Parliamentary Elections
(MIP-PE),3 not later than October 8, 2024 (Tuesday), with the Bangsamoro
Electoral Office (BEO), through the Bangsamoro Registration and
Accreditation Committee (BRAC), in accordance with the Bangsamoro
Election Code (BEC),4 Resolutions No. 10984, 109875 and 11004.
r Section 2, ibid.
a
Bangsamoro Autonomv Act No. 35. Approved on March 8, 2023.
r In tire Mafter of the Period to File Pehtions for Registration and/or Accreditation and Manifestation of
Intent to Participate in the Parliamentar)' Elections (N'llP-PE) of Regional Parliamentary Political Parties and
Parliamentary sectoral organizations for the Bangsamoro Autonomous Region in Muslim lr'lindanao
(BARIUIVI). Promulgated on l\'lay 2,2024.
Page 12 of 38
e. A
certification that the nominees of the RPPP or Coalition is
composed of at least thirty percent (30%) women;
f. The signature and attestation under oath, either by the
Chairperson, President, Secretary-General of the nominating RPPP
or any other duly authorized officer of the nominating Coalition;
g. A documentary stamp in the amount of Thirty Pesos (Php30.00).
a. Nominee number;
b. Name of the nominee;
c. Name of the RPPP or coalition;
d. Date and place of birth of the nominee;
e. Age;
f. Sex;
g. Civil status;
h. Profession or occupation;
i. Address or residence;
j. Contact number and e-mail address;
k. Number of years residing in the Philippines and BARMM up to
the day before the election;
l. That the nominee is a Filipino citizen;
m. That the nominee has executed a sworn renunciation of foreign
citizenship (if applicable);
n. That the nominee is not a permanent resident of, or an immigrant
to, a foreign country;
o. That the nominee is an active member of the RPPP or Coalitiory
and has not changed party membership within the last six (6)
months and not a member of any other RPPP;
p. That the nominee consented to be included in the List of
Nominees of the RPPP or Coalition for the PurPose of
participating in the BPE;
q. That the nominee's name does not aPPear in the list of nominees
of another party except in cases of coalition;
r. That the nominee is not related to any other nominee of the RPPP
or Coalition within the second degree of consanguinity or affinity;
6 ln The I\latter of the Proposed Forms for the BAR\{lvl Elections. Promulgated on May 10, 2024
Page 13 of 38
s. That the nominee is eligible for the office for which said nominee
is nominated;
t. That the nominee possesses all the qualifications and none of the
disqualifications provided by law;
u. That the nominee will support and defend the Constitution of the
Republic of the Philippines and will maintain true faith and
allegiance thereto;
v. That the nominee will obey the laws, legal orders, decrees,
resolutions, rules and regulations promulgated and issued by the
duly constituted authorities;
w. That the nominee gives consent to the Commission to collect,
disclose or share, and process the personal data provided for
election and other lawful purposes in accordance with the Privacy
Notice and as may be authorized by existing laws;
x. That the nominee assumes the foregoing obligations voluntarily
without mental reservation or purpose of evasion;
y. That the facts stated in the certificate are true and correct to the
best of the nominee's personal knowledge;
z. Original signature of the nominee;
aa.Passport-size photograph of the nominee taken within the last six
(6) months;
bb. A documentary stamp in the amount of Thirty Pesos
(Php30.00).
For this purpose, the BEO shall redact the personal sensitive
information of the nominee from one of the duplicate copiesT of the List of
Nominees and Certificate of Acceptance of Nomination with Affidavit of
Non-Affinity, scan the redacted lists and certificates into a PDF format, and
save them in accordance with the guidelines set by the Commission.
b. Encode the information of the nominees into the excel file and
save it in two (2) CDs or USB drive. The format for the excel file
is attached as Annex "H".
The BRAC shall make sure that the information encoded are accurate
and complete as stated in the List of Nominees and Certificate of
Acceptance of Nomination with Affidavit of Non-Affinity.
7
Section 5, Rule Vll, Article lll, Comelec Resolution No. 10984
8 tbid.
Page 15 of 38
RPPP and Nominees, shall be delivered by the BEO to the Law Department
and Election Records and Statistics Department (ERSD), respectively, not
later than October 15,2024 (Tuesday).
The list shall not include any candidate for any elective office for the
May "12,2025 NLE and BPE.
The number of nominees in the new list shall be the same with the
number of those previously submitted in the original list.
Page 16 of 38
The RPPP or Coalition shall cause the publication of its new and
complete list of nominees in two (2) newspapers of regional or
national/generale circulation within five (5) days from its filing with the
BEO through the BRAC. The RPPP or Coalition shall submit proof of
publication of its list of substitute nominees with the BEO through the
BRAC within three (3) days from completion of said publication. No
substitution shall be valid without compliance with the requirements on
publication and submission of proof thereof.
RULE IV
CERTIFICATE OF NOMINATION AND ACCEPTANCE
OF OFFICIAL CANDIDATES OF POLITICAL PARTIES AND
COALITIONS
q
Conrelec Resolution No. 11013. Promulgated on JluJ,t'17,2024
Page 17 of 38
RULE V
FILING OF CERTIFICATES OF CANDIDACY
No person shall be eligible to run for more than one office to be filled
in the same election.
v. That the aspirant will obey the laws, legal orders, decrees,
resolutions, rules and regulations promulgated and issued by the
duly constituted authorities;
w. That the aspirant assumes the foregoing obligations voluntarily
without mental reservation or purpose of evasion;
x. That the aspirant gives consent to the Commission to collect,
disclose or share, and process the personal data provided for
election and other lawful purposes in accordance with the Privacy
Notice and as may be authorized by existing laws;
y. That the facts stated in the certificate are true and correct to the
best of the aspirant's knowledge;
z. Whether the aspirant has been found liable for an offense/s which
carries with it the accessory penalty of perpetual disqualification
to hold public office, which has become final and executory.
When there are two or more aspirants for an office with the same
name and surname, each aspirant, shall need to state a paternal and
maternal surname, excePt the incumbent who may continue to use the
name and surname stated in the COC when last elected.
Aspirants must ensure that all items in the COC are filled out
completely, both in the front and back pages, in accordance with the
instructions stated therein. If in case certain item in the COC is not
applicable to the aspirants, they shall write N/A.
Anv COC filed with the incorrect office shall be deemed as not filed.
lf
at 4:45 PM during the period for filing of the COC, there are
aspirants inside the designated queuing area intending to file their
respective COCs, the Receiving Office shall:
Only the COCs of those whose names were listed by the Receiving
Office shall be accepted.
a. Surname/Last Name;
b. First name OR Nickname/Stage name; and
c. Acronym of the PP or coalition. If not a member of PP or coalition,
IND for independent.
The name to appear on the official ballot shall not exceed thirty (30)
characters. The count of the 3Q-character limitation includes spaces, letters,
numbers and punctuations.
Example:
a. For male aspirant:
Page 25 of 38
Example:
Dela Cruz-Reves Ma Juana Mary Torres
Surtutttrc First Name Nicknnnrc Middlc Nanrc
Accordance with the Guidelines. - The Law Department shall ntotu proprio
cietermine the Name to Appear on the Official Ballot if:
a. the choice of the aspirant shall prevail, unless it exceeds the 30-
character limitation;
b. if both the names of the national and local registered PP are
reflected in Item No. 4 of the COC, the name of the national
registered PP shall be reflected on the name to appear on the
official ballot;
c. If the name of the registered PP is not specified in Item No. 4 of the
COC, the name of the national registered PP shall be reflected on
the name to appear on the official ballot.
When any item of the COC, both in the front and back pages is left
unfilled, the Receiving Officer shall require the aspirant to complete and fill
out the item. In case the COC and CONA are filed by an authorized
representative of the aspirant, the Receiving Officer shall not receive the
COC and CONA and instead instruct the authorized representative to
inform the aspirant to complete and fill out the item left unfilled and file
the same before the end of the period for filing.
Should the aspirant refuse to completely fill out all the items in the
COC, the Receiving Officer shall not accept the COC and CONA.
The RED of NCR and BARMM and the EOs of Davao City and
Zamboanga City, shall likewise submit to ERSD, on a daily basis, through
electronic mail, the number of aspirants who filed their COCs, indicating
the position aspired for by sex.
The form of the Daily Report on the Number of Aspirants who Filed
their COC per Elective Position by Sex is attached as Annex "P".
Watchers may secure from the Receiving Office, a copy of the full list
of those who filed their COCs and their respective positions for which they
intend to be elected.
The List of Aspirants shall be prepared in five (5) copies. The first
copy shall be retained by the Receiving Office concerned while the
remaining copies shall be submitted pursuant to Section 55 of this
Resolu tion.
For this purpose, the Receiving Officer shall redact the personal
sensitive informafion of the aspirant from the fourth copy of the COC and
CONA, scan the redacted certificates into a PDF format, and save them in
accordance with the guidelines set by the Commission.
The offices mentioned shall likewise deliver to the ERSD the second
copy of the COCs and CONAs, List of Candidates and one (1) CD or USB
drive containing the aspirants' information.
The RED, PES or the EO concerned, upon the receipt of the sworn
Statement of Withdrawal, shall notify the Law Department of the said
withdrawal, through electronic mail at [email protected]'.ph, stating the
following:
Forthispurpose/thedulyauthorizedrepresentativeshallberequired
to present along with the dworn Authority to File the Statement of
withdrawal, a verifiecl medical report or certificate pertaining to the
or
physical injury, medical or mental conclition which restricts movement
iunctional capacity of the withdrawing aspirant' The medical report or
certificate should contain the name and signature of the issuing registered
physician, License Number (Lic. No') and Professional Tax Receipt
Page 35 of 38
Number (PTR No.), who has personally examined the aspirant. The
medical report or certificate must be made by a physician who specializes
on the mec'lical condition or affliction of the aspirant.
In this case, the sworn Statement of Withdrawal shall also include the
name of the substitute.
The substitute must possess all the qualifications and none of the
rlisqualifications provided by law for the office affected. The substitute of
the original aspirant/candidate who died shall submit the certified true
copy of the Death Certificate of the original aspirant/candidate.
SECTIoN6T.DeploymentoftlrcArmedEorcesofthePhilippines,
Philippine National iotire and'Philippine Coast Guard; Seatity and
Assiiiance. - The Commission may seek assistance from the AFP,,
Philippine National Police (PNP) andf or Philippine Coast Guard (PCG)]/ in
manning the premises oi the receiving offices during the filing of
COC/C"ONA,CON-CANandListofNomineesandCertificateof
Acceptance of Nomination with Affidavit of Non-Affinity'
RULE VI
COMMON PROVISIONS
SECTION62.BlRRegistrationofCandiilates,NotaRequirement.-
Registration with the Bureiu of Internal Revenue (BIR) and payment
of
Page 37 of 38
corresponding registration fee are not required for the filing of COC,
CONA, CON-CAN, List of Nominees and Certificate of Acceptance of
Nomination with Affidavit of Non-Affinity, nor they are pre-requisite for
continuing as candidate or nominee.
SECTIoN65.EilingofAppropriatePetitionswiththeClerkofthe
Commissiott - A.y issues and concerns that are not administrative in
nature and cannot be addressed by this Resolution shall be subject to the
filing of an appropriate petition with the Clerk of the Commission.
SECTIoN66.Eorms.-Allformsmentionedhereinareavailableat
the COMELEC Offices, free of charge, and may be photocopied'
reproduced or downloaded from the CoMELEC official website at
tott tLr.conrcle c.golr.ph.
Eachformshallbeprintedonasinglesheet(backtoback)offolioor
legal-size paper.
Page 38 of 38
SECTION 67. Cortrpliance with tlrc Data Priaacy Act of 201.2 and its
Implementing Rules anil Regulations. - The Commission shall ensure that
all its procedures are compliant with the Dntn Priz,ncy Act of 20'12 and its
I nrylementing Rriles and Regulatiorts.
SO ORDERED.
CERTIFICATION
INSTRUCTIONS:
1. Kindly fill-out the irrformation and sutrmit to thc law Dcpartu]ent, on or before Scpt('mbcr 30 2024-
2. Additional slreets may be used in case of more than five (5) authorized siSnatories.
3. The l,resident/Chairperson/Secretary4eneral shall sign each page of the Sworn List of Authorized Signatories. in their
4. The List shall be sworn before a nota.y public or an/officiai a"uthorized to administer oath. CoMELEC officials are not authorized to administer oath' even
capacities as Notary Public.
5. No filing fee shall Ix imposed.
4. Acronym/s and its abbreviated versiory's in not more than six (5)
characters, taking into account the 30-character limitation of the
name to appear on the official ballot of an aspirant:
Page 1of 3
Name of Authorized Signatory Three (3) sets of specimen signature Position I urisdiction, hether N ati o nal or Local
of each (rf Loc name of Provinc
.l
.l
b.
2.
b.
3
a
c
1
i't.
b.
5
a.
b.
C
(Use extm sheet ifl,eccsso\l)
Page 2 of 3
t, thc Chairpersor-r/President/Secretary-Ceneral of
hercby CERTIFY as follows:
4) The information provided in this form is complete and correct to the best of tny knowledge;
solely by the Commission
5) By affixing my signature below, I understand that any-personal information pto_vided herein will be used
on Elections in the evaluation of the Certificate of Candidacy and Certificate of Nomination and Acceptance'
CERTIFICATE OF NOMINATION
INSTRUCTIONS:
1. File this in FIyE (5) LEGIELE COPIES ro the bw Departmenl, fiob 6:m AM to 5:m PM ONLY, frob Ortob.r r io 8, 202{, tn.luding Srturday
rnd Sunday.
2- ATTACH lhe Swom C€rt icate of A.<eptance of Nominnrion and Affidavir ot Qualiricanon of Nomin€e.
3. COPY TURNISH the Clerk of&e Commission.
{. Do not leave blank enkies and indicate N/A if an item is not applicable. Print the front and ba.k pats of rhe Cerrificate on. sinSle sh€er (back to
b.ck) of folio or le8al4ize pap€r.
5. This Certifi<ate shall be tsom t€fore a not.ry publl. or rny offt i.l ruthoriz.d to d6hi.t r oettL COMf,LEC ofrl.lab .re not .uthortz.d to
rd&inirter oatb €v.n in th.n..p{iti.5 .i Notrry Prblic.
6. No filin8Ie. thall b. impo.cd.
7. This Certifi<ale shall be post d on th€ offici.l w.brit. of Commbrion, rn accotdance with the Dal, Priv.qv A.t and irs implem€ntint rule. and
PURSUANT to the power and authority vested in me by the Constitution and By-Laws of
a political party/sectoral parly / orBa zanon/coalition
dull' accredited by the Commission to participate in the I!Iay 12, 2025 National and Local
Elections (NLE) and BARMM Parliamentary Elections (BPE), under the partyJist system, I
Chairperson/ President/ Secretary4eneral of
aforesaid partyJist group, hereby nominate in the order stated the following party-list nominees
NAME ADDRESS
1.
2.
3.
4.
5.
7.
8.
9.
10.
hereby certify that the above nominees have all the qualifications and none of the
I
disqualifications of party-list nominees and that they are not candidates for any elective office in
the May 12, 2025 NLE and BPE.
Doc. No. i
Pase No.
Book No. -------J (Alfir P3O.m d@mentary stamp)
S€ries of 2024. (Officer Authorized to Administer Oath)
BE PHOTOCOPIED OR REPRODUCED AND IS AVAILABLE AT THE COMELEC OFFICES FREE OF CHARGE OR MAY DE DOWNLOADED
I'Hls FORM CAN
FROM THE COMELEC Of FICIAL hTBSITE (rw.co.nelec.to!.ph)
FIONT
Annex "C"
Affix photo taken
within the last six
CERTIFICATE OF (6) months
ACCEPTANCE OF NOMINATION
Passport Size
NOMINEE NO.
INSTRUCTIONS
l. File this in FI\|E (5) LEGIBLE COPIES lo the bw Deparbn€nt, ftom 6l)0 AM r,o 5{o PM ONL, fmm O.robe! 1 to 8, m2{, irKludht Saturd.y
.nd Sund:y.
2- ATTACH the Certilicate of Nominarion.
3 COPY zuRNISH the Clerk of rhe Commission.
l. Do not leave blank ent.i6 and indicate N/A iI an item i5 not appli.able. Prmt the rront ud bacl pag6 of lhe Certificare on a single shet (back to
back)oflolio or leg.l-size paper.
i. This €ertifi.ak shall be swom b.fore r notary pubur or .ny o(fid.l .utholiz.d to :dEdniit.t orttl COMELEC offt irl. :r. lrot .uthorlz.d to
rdnirisl.r oalh, ev.n in lheir <rpr.iti.r .! Notrry Public.
6. Nofilinrf.e rh.ll b. idrpG.d.
7. This C€rtificate shall be post d on the ofti.irl w.btir. of Comrftlion, in ac€ordance with the DaLr Privacy A.t and its mplementinS rules.nd
t, a bonafide member of
party-list group), hereby accepts the nomination as its
party-list representative in conrection with the May 12,2025 National and Local Elections (NLE) and
BARMM Parliamentary Elections (BPE), and after having been swom to in accordance with law, depose
and state the following:
1. Full r.\ame:
(Surmtnc) (First Naurc) (Middlc Nan:l)
2. Name of Party6e.toravcoalition:
3. Date of Btth:
4. Place of Birth:
5. Ate:
6. Sex:
(Ho sc No./SI/ccI/Mu,1icipIIil!/Ciht/Pto.'it1c.)
Conta.t Number for Election Pu.rposes
l4 Period of residence in the Philippines up to the day b€fore May 12, 205, NLE and BPE: of Years of Months
I hereby certify that the facts stated herein are true and correct of my own personal kaowledge
Party-list system,
2. Pursuant to the power and authority vested upon us by the Constitution and By-Laws of
we hereby nominate in the order stated the
(Nant ofPolitia ot Scttonl Pttty/Ot8dni.dtio /CoLtlitio )
f ollowing nominees/ substitute nominees:
NAME ADDRESS
1.
4.
5.
6.
7.
8.
9.
10.
3. The said nominees/substitute nominees have all the qualifications and none of the
disqualifications provided by law and that they are not candidates for any elective office in the
May 12,2025 NLE and BPE;
4. We are executing this affidavit to attest to the truthfulness of the foregoing statements.
NOnCE/DTSCLAIMER: Att authonzed re.rpienr! of any peren.l data, p€enat irfomariB, pririleSsd inlomarion and *tuitive PeEonil inlomatDn <onbined in
rhi. d@ment, rftluding olh€r pcninenr d@mnts ar;ciled rtrrero tha'r.E 3haFd by the Cohmi$id on ElEt orE in.omPliare {th etishnB l.w3and ru16, and
in co omrh, wih ftc D;ra pn;.cy A.r of 2Or2 (R.A. No. 101?1) .nd its lhplcncntint Rols ard Rcgul.tiG,6 wcl a5 th. pcrtimnl CtcllaB oI thc Natonal ftivacy
Commission. esimitarly bound to compty wiih sid law5, rure3 and retuitio.s, Elatin8 to d.b pnvacf, *u!ity, contidentialitv, Pror<tio. and ac<ounbbilitl
Annex "E"
Pursuant to the power and authority vested in me by the Constitution and By-Laws
of a politicai party/sectoral
(l\1 tu N of P ol i ti r al Pff Lv/s c( to r al Plr tlt/O rgfln iza tiolt/Caali lio t t )
party f organtzation/coalition duly accredited by the Commission on Elections to
in the May 12, 2025 National and Local Elections (NLE) and BARMM
participate
Parliamentary Elections (BPE) under the partyJist system, I
the of aforesaid
(Nattr of Onirycrsotl/Prcsidattvsccrctary-k crdl) (Posinon)
(Date)
(Date)
Doc. No.
Pasa No.
Book No.
-;
Series
-;
NOTICE/DISCLAIMER| All aurhorized recipienbs of any peEonal data, personal inlormatio& Privile8ed inlormation and s€nsitive PeEonal
inJormarion contained in this documenl, including other pertin.'nt do<umeits attach€d thereto ihat are shared by lhe Commission on El&tions
in
complia&e
-. with exisring laws and rules, and in ;nformity witr th€ Data ttiva.y Act of 2012 (R.A. No. 10173) and ils l$Pleanentint Rules and
-the
negufations, as weff as pertincnt Circulars of the National Privacy Commission, are similarly bound to cohPly with said laws, ru15 and
retulations, relatint to daLa pnvacy, s€cutiw, confid€ntialitv, Protection and accountability.
Annex "F"
Pursuant to the power and authority vested in me by existing laws, rules and
regulations of
(Nau,/ of Cnrl itio,,)
a coalition composed of
duly
IMa|,te oJTFPP{Fun wrg llv.Glif i,til
accredited
by the Commission on Elections to participate in the May 72, 2025 National and Local
Elections (NLE) and BARMM Parliamentary Elections (BPE), I
the of aforesaid
fNarrc) (Position)
Coalition, hereby authorize of Iegal age,
Reprcsol
(Date)
(Date)
Doc. No.
Page No. --j
Book No. --i
Series
-;
NOTTCE/DISCLAIMER: All aurhorized re.ipients of any personal drLa, p€rsonal information, Privil€8ed information and sen5itiv€ P€Bonal
inform.tion .ontained in this doc'rmcnL includinS otlrcr pertinent documents attached thereto that are shar€d by the Commission on Eletios in
-,
compliance with existint laws and rules, and in -nformity ,"ittr U" Outa Privacy Act of 2012 (R.A No. 10173) and iE ItnPlementint Rules and
Rcgularions, as wel as ihe perrinent Circulars of dle National Privacy Commission, are similarly bosnd to comPly with said laws, rula and
regulations, relating to data privacy, security, confidenlialily, Protection and accountability.
Annex "F-1"
LIST OF NOMINEES
INSTRUCTIONS
1' Filc this in NINE (9) LEGIBLE coPIEs to the Bangsamoro Electotal offi<e through lhe Bangsamoro Regiskation and Accr.ditarion Commftre€,
ftom 6100 AMto 5:00 PM ONLY, not l.ter rhrn September 30,I)24 (Monitay).
2. AT'IACH the Srrcm Certificate o[ Accept .e of Nominarion with Affidav of Non-Affin y.
3. Do not leave blank entries and,ndicate N/A ifs iEm is notaFplicable. Prinr ihe f.ont dd back pa8es ona singie sh.er (back to back)orfolo
or leSal-size paper.
4 This List of N'ominees shau be swoln belore . rotary publi. o! .ny offi(ial .urhoia.t to sdriri6ter oath. COMELEC ofli(ials e NOT
.uthorized to administe.oatt, ev€n in rheir.apa.iti6 is Nor.ry public
5. No filingfe. shatl be imposeA
6. Th; Lkr N 1t Pri
PURSUANT to the power and authority vested in me by the Constitution and By-Laws of
a regional parliamentary political party (RPPP) /coalirion
duly accredited by the Commission to participate in the Parliamentary System of Representation in the
May 12, 2025 National and Local E lections (NLE) and BARMM Parliamentary Elections (BPE), I
@":*:'#f"*::?i:"y"':',:""':?ftril:'#,f":'J,
the RPPP/Coalition for the BARMM Parliament Party Representatives:
2.
3.
4
5.
6
7.
8
9.
10
11.
12
13
14
15.
1,6.
77
18
19.
20
21
22
23.
24.
25
26.
27
28
29
30
31
32.
34.
35.
36
37
38
39.
40
FRONT
I hereby certify that:
1. The nominees have all the qualifications and none of the disqualifications for Party
Representatives in the BARMM Parliament.
2. The nominees are not candidates for any elective office in the May 12,2025 NLE and BPE.
3. At least 30% of the party nominees of the RPPP/Coalition are women.
4. The nominees are not related to each other within the second degree of consanguinity and
alfinity.
5. No change of names or alterations of the order of nominees shall be made after the List is
submitted to the Commission, except in cases where the nominee dies, becomes
incapacitated, or there is a valid withdrawal and substitution of nominees, in which case,
the name of the substitutes nominee shall be placed last in the List. Provideci that,
substitution of nominee due to the valid withdrawal of the acceptance of nomination will
be filed not later than October 8, 2024.
Doc. No. :
Pase No. i
Book No.
Series of -j (Officer Authorized to Administer Oath)
-.
THIS TORM CAN BE PHOTOCOPIED OR REPRODUCED AND IS AVAILAAf,E AT THE COMELEC OFFICES FREE OF CHARGE OR MAY BE
DOWNLOADED FROM THE COMETEC OFFICTAL WEBSITE (!T\]{,tO CIE..&OfPD
The colte.ted personal daralritl b€ encoded in n spreadshet for easv rekieval of the sanre. Your Personal daia iviu be used t'v the Commission on Elcrtiont
(COMELEC) in the PrePaiation and finalizahon of the listof nomine€s of RPPP oiCoalition'
For le8itimate rsearch needs and inquiries, and only lor the purposes spc.ified in the request, the COMELEC may dis.lo* and sharc the Lbt
oi Nohines and
your aertiticabe of Ac.eprece of Ndination teith Affida\.it of Nona\ftiritv, and/or their contents. Morevet, the COMELEC mal, u* and dis.lo.e the LGt ol
'lromnes
and your Ceriificatc oI A.ceptance of Nominarion with Affidavit ofNon Affinit)', and/or thcir contents in anv Frceeding or investiSation in ivhich lhe
sam€ is in issue ormay find relevanc€.
Ont),luthorird personnetarc alo(ed to a€cess and process your personaldata. lmmediatelv after lhe eledion Period or uPon theexPtarion of the st(1tage P.riod
set; exisring CC;MELEC rutes and policies, and larvs and regriations, ivhichever applies, the physicaland digital.opies of your P€rsonaldata tvill be anonymiztd,
deleted, and-.liscirded foltowiry rhe disposition procedues of the COMELEC and the Nalional Archiles ol the PhiliPPines
you hale the righr to ask for a copy of the Usr oI Nominees and you Certificate or A<ceptance o, Nomination with Affidavit of Non-Alfinity or any Fersonal data
they contain. Aiso, you may rOthdraw your Cenificate oI A.ceptan.e of Nolninahon with Affidavit of Non-Affinity in a.cordance lrith the COMliLh:C
rule! .nd
poli.ies of, the matter.
lf you have questions regardint lhis Priva<y Notice, Please scnd an email to dlo']comels! g!!!h'
BACK
Annex "G"
AIfix photo taken
withh the last six
CERTIFICATE OF A CC EPTANCE OF NOMINATION (6) months
NOMINEE NO.
INSTRUCTIONS
2.
-
I File this in NINE (9) LEGIBLE coPIEs to the BangFamoro Ele(toral office tkough tlrc BansFamoro Registrarion and Acaeditation Cohmiite,
from 8:m AM b 5:m PM ONLY. nor lrta thrn S.ptcrb.r 30, 202a (Monday).
ATTACH the Ust ofNomines.
3.
. Do not leave blank entries and indicate N / A if an itern is not applicable. Pnnt fie front and back pages on a single sheer (ba.k ro back) ot folio or
t. .Thls
Ceruncah shau be swom b.for. r nolty pubtk or :ny ofti(i.l ruthortz.d to .dnirirt r o{h. CoMELEC offtctrt! .re NOT .uthoriz.d to
r.rmini.t.r dth, ev.tr ir rh.ir..p:(ti.. .ls Notrry p!bllc.
No filirt f.e 3h.ll b€ iaposed.
6 Thls ce.tiicate shall be Po.ted m th€ officirl wcblit. of c.6mi.5io& in .c.ordance with th€ Dara privacy Act and s implementing ru16 and
4. Place of Eirth:
5. Age:
5. sex:
16. I AM ELIGIBLE for the office for which I am nominated as I possess all the legal qualiftcations and none of the disqualilications
provided by law.
17. I am not a candidate for any elective office in connection with the May 12, 2025 NLE and BPE.
18. I am an incumbent and active member o, the above-stated RPPP.
19. I have not changed my party membership in the last six (5) months prior to the filint of nomination.
20. I am not a member of any other RPPP.
21. I accePt and give rnv consent to my nomination as one of the nominees oI the abovestated RPPP to which I belon& in connection
with the May 12,2025 NLE and BPE.
22 I am not related within the second detree of consanBuinity or affinity to any other nominee of the above-stated RPPP.
23. I will abide by the rules and regulations of the Commissiorf including its code of conduct on social media.
2{. I shall not advocate violerrce or uilawlul me.ms to achieve rny godls.
25. I will support and defend the Constitution of the Philippines and will maintain true faith and allegiance thereto; I will obey all
the laws, letal orders and decees promulgated by the dlly conslituted authorities of the Republic of the Philippines.
26. I Sive mv consent to the Commission on Elections to collecL disclose or share, and pro<ess the peIsorlal data I provided herein for
election and other lawful purposes in accordance with the Privacy Notice at the back of this form, and as may be authorized by
existing laws.
27. I impose this obligation upon myself voluntaiy, rvithout mental reservation or puipose of evasion-
I hereby certify that the facts stated herein are true and correct of my own personal knowledge
FROIiT
SUBSCRIBEDAND SWORN to before me this at
affiant exhibiting to me an Identification Document/Card which contains a
photograph and signature bearing No. issued by o11
Doc. No. :
-.
THIS TORM CAN BE PHOTOCOPIED OR REPRODUCED AND IS AVAILADLE ATTHE COMELEC OFIICES FREE OFCHARGE OR MAY BE
DOWNLOADED FROM THE COMELEC OFFICIAL wEBSITE (Hwe..o'nele(.cov.phl
The collected p€rsonal data $'ill be encoded in a spr€adsheet for easy r.trieval of the same. Your personal data (ill be used by the Commission on Ele.tions
(COMELEC) ir the preparationand filulization of the list of nominees of RPPPoT Coalition
For legirimate research needs and inquines, and o.ly for the purposes sp€cified in the request, the COMELEC may disclose and sharc the List of Nomines and
your Cerrificare of A(eptece of Nomination with Affidavit ol Non'Affinilv, and/or thei.ontents. Moieover, the COIUELIC rnay use and dis.lose the List of
Nominees and your Certifi.are of A.ceptance of Nomination with Affidavit of Non-Affinity, and/or lheir contents in anv prneedin8 or invesligation in s'hich the
same is in issue or may find reievance.
Only autho.ized pcrsonnel are allotved to a.cess and process voLrr personal data. Imediatelv after thc ele.tion period or upon the expiration of the storag. period
setin exisring COMELEC rulcsand poli.ies, and la!,s and re8ulations, tvhichelei applies, the physi.aland diijital copies oI vou. personaldata teill be anodymi2d,
deleted, and dis(arded followin8 rhe disposition proceduresoflhe COMELEC and the National Archives of the Philippittes.
You have the ri8hr to ask for a copy of the List of Nomin€es and your Cerhficate of A.ceptance of Nominahon lrith Affidavit of Non'Atfinity or .ny pcrso.al .tata
thev contain. Also, you ma). withdlaw your C€rtificate of Acceptance of Nomination with Affidavit of Non-Affinity in accordance with the COMELEC rules .tnd
policies on the matter.
lfyou have questions regarding this Privaty Nohce, please s€nd an emailto il po!'.ome le( .ro ! ph
EACK
Annex "H"
lnstructions:
1. Kindly fill in the information below using the excel document file and format herein provided, and save it in two (2) CDs or USB drive.
2. Subrnit this with the Law Departrnent and ERSD not later than October 15, 2024,
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12-
13.
74.
15.
15.
77.
18.
19.
20.
27.
22-
23-
24.
E.
26.
24.
29.
30.
31.
tz
33.
34.
35.
36.
37.
38.
39.
40.
(Date)
Republic of the Philippines)
) s.s.
By virtue of the power and authority vested in me by the Constitution and By-Laws of
L,
(Nane ofPoliticnl Pa y) (Na le)
the
(Position in tlv Political Pnty)
and r.luly authorized signatory for and in behalf of the party. hereby nominates:
(Namc of Nominee)
(Date)
(Date of Acceptance)
NorlcE/DlscLAlMER: All .lthonzed eipienl5 oI any peeul dat, peen.l in{omarion, pnv,bged infofraiion a.d 3.nsitr,e
m this dmncnl, iftludht othc. pcrHnsr do.u*t FBn4 lntomanon
'onlaimd .h"a drotcro tt *" rt.-a { th. aotnmirrim o. EtcctioE in compti4c N i qisting
ldE Md rules, dd "tt {R.A. No tol73t
in conlom y rvith the Ddrn prilacl, A<r of 20t2 "r and ,rs lm;lemenr,nt Rut6 and Reiutatioru,
Cir",leB of the Nahorul Privaq, Commisstotr, are 3imitarly bound ro.o-pry *itt *ia r",,--r..j !s wel E ih. DerttEm
cor idcnti.lit),, prcrerid and a(ourr.bititv.
*g"l.i;;i;;;;;;;;;,?,",y,
Annex "f"
STATEMENT OF CANCELLATION
I (Notned,of candidote), Of legal
age,
after having
been duly swom to in accordance with law, state as follows
(Date)
Doc. No. i
Pase No.
BookNo- i
Series
NOTICE/DISCLAIMER: All authorized recipienLs of any personal data, personal information, privileged information and sensitive
-. inlormation contained in this document, including other pertinent documents attached thereto that are shared by the
P€rsonal
Cornrnission on Elections in cohpliance with existing la$,s and rules, and in conformity with the Data Privacy Act of 2012 (R.A. No.
10173) and its ImPtementing Rules and Regulations, as well as the pertinent Circulars of the National Privacy Comnussion, are
similarly bound to comPly with said laws, rules and regulations, relating to data privacy, security, confidentiality, protection and
accountabilitv.
Annex "I-1"
AUTHORITY TO SUBMIT
STATEMENT OF CANCELLATION
1,
of legal age, Filipino,
Nnl,t/ oJ Canaid te
and a resident of
Addrcss of At C-antlidntc
hereby authorize also of legal
Nnarc llle At tho tizd R.p tesotatiu
age, Filipino, and a resident of
A&iress of the Authoized Rcprcscfitntire
to submit my Statement of Cancellation.
(Date)
(Date)
BookNo. ;
Series _.
NoTtcE/DlscLAlMER: All .uthori2ed reripients of dv persml data, peEoMl iifomarion, priviteged inlolmtion d *nsirile
FBoml iilor,n.rion
.onlaired in lhis d*ument imludint other pertinent deumentr atlachea rtrercto rt t are sharcd by rhe Lommission on El<ri(!E in o;pliance with e\isting
laws and rules, and in .onlormitv r{ith lhe Data Prilacv Act of 2012 (R.A. No 1018) and its Implemetin8 Rutes and Re8ularioE,
as we[ a! rhe pert@r
CirolaB of th€ Nalioml P.,vacy comission, e similarly bound ro comply with said laws; rdes ai regulatiore, .!hr,.g to a"r" pnvacv, sd.itv,
conJidentirlity, prot<tion and a..ountabititv.
Affix photo
CERTIFICATE OF CANDIDACY FOR taken within the
Iast six (6)
SENATOR months
Passport Size
INSTI{UCTIONS
1 Fil!rhis cerrit(nte of candrda.v (coq nvE €) LEGIBLE .opic! with rhe coMELEc ofii,.e conccmed,
including 5.rud.y &d Sundry. 'n fEE 6.)0 aM ro s:m pM oNL! frcb octob.! I to 8, 2mr,
2 AnJ.h to this COC, the Ccnili..t. of Nomir.rion .rd A(.Gpr.ft. (CONA), i, apDlicable.
1. NAME:
9. SEXI 10. AGE
!"," [*-,"
11. DATE OF BIRTH:
Oa
2. NICKNAME OR STAGENAME: {hd,.ar. onrv onc nickn.Ecor
12. PLACE OF BIRTH
Ciry/Mun
3. OFFICIALLY NOMINATED Byi (AuadcoNA)
(Lajr N.nc. tiEl \.meOR N,ckeme. dnd Adonvh Party Aifilialon a3 ltared in lrems 1 ro 3)
tl^Li* ola leqallv mamed (emaleondrdare, str ira to dr@e eiltE tEr Edd Eft, ffiicd tla@ o. borhl 14. PROFESSION OR OCCUPATION:
5. RESIDENCVADDRESS:
5.1 provrE
I 5.
5.2 CiwlMuni.ip.lrry
5.3 tuErya). E I .A}t A 8EG}STERTD !'OTIR O'
I
I
I
E I WIII BE A REGISTERED VOTER OT
6. PERIOD OF RESIDENCE IN THE PHILIPPINES UPTO THE DAY BEFORE MAY fl, M25 15. nave you eve. be€n roud liabb ror an
,""* | No. o' Mon,h! offeGe wtnch carries rvirh it the .ccessory
^. "' L1,] Fnallv of perpetual disqualihcation to
hold public office, rlhich has become frnal
7. ADDRESS FOR ELECTION PURPOSES: !6rE,Eq**N" .nd €x..utory7
n
-
Prg! No. :
-
(Ajfii P30.00 dcumenran sramF)
- (Offi@ Aulhorized t Administer Oafi)
FI$EI data will be €ncoded in the information system develop€d by the-Comission on Eleciions
The coUared
(COMELEC). Your COC, as
wel as the p:tsonal data inputted in rhe inrormation system, lvill be evaluated by ihe Law Depatment in accordance with the rel€vant
COMELEC rules and potici;s. After evaluation, I,our personal dara will be us€d bl'the COMELEC in the Preparation, PosnnS and/or
publi€arion of{he tist oI ca ndidates and other elertion-related dooments or formg and printing of offi.ialballots.
Ior leSirimare research needs and inquines, and only for th€ purposes specified in-the Equest, the COMELEC may disclose d share vour
COC;nd/or its conlenrs. Moreov€r, the COMELEC hav use and disclose vou COC and/or its contents in any proceeding or inlestiEation in
whi.h yor:r COC and/or its.onlents islare in issue or may find relevance.
Only authorized p€Mnnel are atlotled ro a..ss and pro(6s vour personal data. Immediately after the election penod or uPon the exptation
oftie storage pedod s€r in existinS COMELEC rul€s and polici6, and larvs and regulations, whi<hever aPplies, rhe Phvsical and .tiSiral coPjes
of 1,our perioi aau r"il be u;),mized, delered, m.l discarded follorving the disposition prftedures of thc COMELEC and th. National
Ar.hives of the Philippines.
you have rh€ nght to ask for a copy oivour COC orany personal data itcont.rns. Also, vou ma)'withdrar, your candidacy in accordancc wilh
the COMEI.EC rulesand Policies on th€ mtter'
ryou have questioro regardint this Priva.y Notice, Ptease send an ehail to
'',rrs"x'l' J'r I'''
BACK
Affix photo
taken within the
CERTIFICATE OF CANDIDACY FOR Iast six (6)
MEMBER, HOUSE OF REPRESENTA TIVES months
Passport Size
TNSTRUCTIONS:
l Iile-lhis Certifi.are of Cahdida.) (Coc) h FrvE (5) TEGIBLE .opie. with the COMELEC office concemed {rom 8:m AM b 5:m pM oNt! frch O.roblr 1 to 8, 2ry2t,
iffludint S.turd.y ud Sudry.
2. Aitach to this COC, the Ccnificrtc of Nomination rnd Accept nc. (CONA), ifapplicable.
3. Do not leav€ blad entries and indi.ate N/A iI an entry i. not applicable. Print the hont and back pag6 of rhe COC on . .mtle 5heet
Oa<k ro back) of folio o! letat.ize paFr.
4. Ths COC shall be iwom bdore r notty publi. or.ny offi.i.r .uthorizld to xltrdni Gr o.tlL COMELEC offi.irL.re not.uthoriz.d to .dEirirt.r o.nr, cven in itreir
c.p..itier 15 Notary Publi..
5. No fitiDg fec lhall b! idporcd
6. This COC wiu b€ t.d on th. offi. ial website of th€ Commission in accordan c wirh the Dah Pn
I hereby announce my candidacv for the position of MEMBER, HOUSE OF REPRESENTATMS, DismcL Ciry of _
Province of the May 12, 2()25 National and Local Elections (NLE) and BAX.MM Parliamentary Ele.tions (BPE); and after having
to in accordance with law ,l hercb), state the followinS:
Male
DATE OF BIRTH:
l
11.
-in
T-TI-T CilyilMun
(l:5t Name, Fi6tName OR N!.knah€, and Aconyh of Political P.rty Atfili.tion a5 st.ted in Itehr 1to 3)
(ln ras oI a leqaly marri.d lemalc .mdidate, she hE L-!c ootiotr to <h(be either her maiden EN, mari.d Mme or both) 14. PROFESSION OR OCCUPATTON
5. rrISTDENCVADDRESS
5.: (irl,/MunrcitEln!
l|| 5.3 Darang?y
1 5.
E I AM A REGIsTERED !'OTSI( OE
6. PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BEFORE MAY 12, 2025: 16. g.ve you ev€r becn found :iable for an
I I I No.orMddB ofi.H which caries \iih it the .ccessory
6 2ln |h. abor..l.Ld Drcict/City/Prc*r! [T-l No otMonrhs Fnalty oI perp€tual disqualification to
hold public offi(e, which has be.ohe final
and executory?
7. ADDRESS FOR ELECTION PURPOSES: rcorr,r b. ,h. qd x No ;)
l-_'l Y6 (Pl.nr prov'd. .l.l!'lt rl lh. brk)
Ir.
8. E.MAIL ADDRESS (N& lnoEor<lt.rE of]llE.,n.fl ,
,k &tuiil, 'mn dbhrf rh coMsrEc .na'.r,r-" rt cCrC wr. nLd. Odlfui( d.d E.r b tll h.r.in iidt !i.dd6r rhn h. d..n*n @rd )
lhereby.crrirv that the iacts stnted herein are truo and con€.t to thebestofmy knowledge
ST BSCRIBED AND SWORN to bfore me this a"v ot 94ffi at alfirnr exhibitint to me .n ld€ntification document/Gid whi<h
contains a photoFaph and signature beanng No.
-
The colleled p€rsonal data will be en ode.l in the irlomlion systch deveioped by thc Commission on ElstioE (Cr)MELEq. Your COC, as
well as the peEonal data inputted in the inlormation system, will be evaluated by the Laiv Department in accordance with the relevant
COMELEC ruies and pohcies. After eialuation, your personal data wiu he lsed by lhe COMELEC in the preFaration, postrnS and/or
publicrtion of the list of c.ndidates and other election-related documents or foms? and printing of olficirlballotr.
For legitiaatc research needs and inquiries, and only for lhe purposes specified in the request, the CoMELEC na) disclo* and share your
COC &d/or its.ontenls. Moreover, the COMELEC may ac and disclose your COC andlor its contents in any prGeding or inlestigation in
whi.h yourCOC.nd/o! its contenf.s islar€ in issue ormay find relevance.
Only authorized personnel are allohed to a(ess and process your p€rsonal data. Immediatelv atter the ele.tion period or upon rhe e\pirntion
oI the storage period set in exislinS COMELEC rules and policies, and larrs and r.$lations, rvhichever applies, the phvsi.al and digital.opi€s
oI your personal data $,ill be uonymized, deleted, and dis.arded follorving tle disposition pro.edures of the COMELEC and thc National
Ar.hiv6 of the Philippines.
You have the right to ask for a copy ofyour COC or any personal dala itconlains. Also, you maj. withdralv your candidacy in a.cordance rvith
the COiIIELEC rules and policies on the malter.
If you ha\€ questions regarding lhis Privac). Notice, please send an email to dlsi !a'1. , +q.],1.
8AC(
Affix photo
taken within the
CERTIFICATE OF CANDIDACY FOR last six (6)
Passport Size
INS'TITUCTIONS
l rile this certiricate or candidacv (coc) in FIVE {5)LEGTBLE copies with the COMELEC onice concemed, fEm 8:00 AM ro s:00 pM oNLy, from
in.ludi.t Satui.t.y d Sunday. o.rober r b E, 2024,
2. Attach to this COC, th€ Ccrrifi(.te of Nomination.nd A.ccprrn.. (CONA), ifappti.able.
3 Do no! leave blank entries and indicate N/A iI an €ntry is noi applicable. fint
ri" r,ont una u".t pug"" of the coc on a single she€t (back to bac.k) of fotio or legat-size paper.
i
4 Thrs coc shall be sworn befor' natr, nublic or anv official .utho.ized to rdmi ster orth. cbMELEc offi.i.b r.;or.urholi.d
ro .dndnturer oath .ven in th€i!
(aprciHes Notarv Publi..
s '
5. No filing fee shaube inposed.
5 ThlsCOC wiLl be postcdon th. offici.twebsite ofthe Commi5sion in accordance wir}l the Dara Pri
Act and its implemenhn
here b v didacv fo the Po tio PRO VIN CIA L G OVER N o R, Pro\.ince of the Ma v 1Z 2025 ho nal d
Loc E Iec ti (N L E) and B AR MM Parliam entary Elections (B Pr), and alter hav mg to in accordance with law, hereby the fol rn8;
1. N.A.ME:
9. SEX: 10. AGE:
Male
Dav
2. NICKNAME OR STAGENAME: (indi.arc ontv onc ni<kmmc o! sras. l]mc)
I
12. PLACE OF BIRTH:
I Citv /Vun _
3. OFFICIALLY NOMINATED BY: (At|a.h CoNA)
laast N.mc, lirst Name OR Ni.knahe.,nd A.ronym of polirical padv Affiliarion as srated in n
rln !dx.o, r lctallv hamed temale . anordate. she iu< rtE option ro (ho@ erther her maden tu h€, maried nme o. bothl 14. PROFESSION OR OCCUPATION
5. RESIDENCflADDRESS:
5.1 Prolirce 15.
5.2 Citr/ M!niciFariry
5.3 Barangay E] I AII A REGISIERIO VO'IIR OF
6. PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BEFORE MAY 12, 2025 15. U.un you ever be€n found liable for an
fT-l I I I ollense rvhrch carics hith rr lhe
rrt orMnth'
No. dLcLssory
5 2ln ihc abovcibbd Prowc penalty of perpetual disquali{tcadon to
hold public office, whi.h has be.ome rinal
and executory?
7. ADDRESS FOR ELECTION PURIOSES: ,courdb.rheer5\ro ,)
l-l Y6 (Pl.a* pro!rd..lcoit, al rhc ba.kl
l--l x.
8' E-M{L ADDRESS, (Nor rncrco,.*sco,.dd,6'rndc-roi,
er..$ rurf! ma€lri.r.rv ri. coMELEc Cxri(e $ ha rtu coc u, filed indicaed .ddr65 rh.)t b. de5.d latd )
I hereby certifv that the facts stated herein are kue od cotrer ro lhe tJesl of my knowledge.
TH]s FORIII CAN BE PHOTOCOPIED OR REPRODUCED AND ]S AVAILABLE AT TTIE COMELEC OFFICES FREE OI CHARGE
OR NIAY BE IEWNLOADED FROlvl lHE COMELEC OFFTCTAL WEASITE (i\.{v.cohete.tov.ph) FRONT
-
CASE CASE TITLE DATE STATUS
DOCIGT FILED
Tlrcco ected per$nal dara will be encoded in the irJormauon sysrem develop€d by the Commision on Ele.tio6 (CoMELEg. Your COC, as
well as rhe F;rsonal data inputred in the inlormation syslem, r,ill be evaluated by the l"aw DePartmcnt in acco ance with the .elevant
COMELEC ;tes and porciis. arte' evaluation, your personal data irill b€ u*d h) the CoMELEC in the preParation, Posting ind/or
publicarion of the tirt oiondidares and orher ele(tion-retat€d do<lrments or foms, and pnnting oI officinl ballob.
Fo. legitimare r€search nercts ard inquiries, and only to. the purporcs sFrilied in the r.quest, the CoMELEC mav dis.los€ and shaN your
Cc)c;d/or its conr€nts. Morcover, rhe COMELEC mav u* and di$lose ),our Cm and/or its cont{nts in any P.ceding or investiSation in
rvhich your COC andlor its (ontmts islare in bsue or may find relevance.
Ont!, aufionz.d per'onmt arc atlo$,€d to accers and process your p€rsonal data. lmmedialelv after the ale.tion penod or uPon the expiration
of the storage period set tn e\istingCOMELEC rulesa.d policies, and laws and.reSulations, ivhich€ver .PPli6, rhe phytical and didralcopies
of your peioiat aata wilt be ano;ymiz.d, deleted, and discarded following the disposition prft€dures of tht' COMELEC and the National
Archiv6 of lhe PhilippirEs.
you h.ve rhe righr to.5k for a copy of yo'.rr COC or any personal data it contains. Also, you may withdraw your candidacy in ac.ordan.e wirh
lhe COMELEC rulesand policies on the matter.
II )ou have questions r%atding this ftiva.y Notice, Pleas€ s€nd an email to rll4!nn'r' ; !'r/1'
Affix photo
taken within the
CERTIFTCATE OF CANDIDACY FOR last six (5)
Passport Size
INSTRUCTIONS
l File- this Certificate ot Candidacv (COC), in rIVE (5) LEGIBLE copi.r with the COMELEC Office concehed. f'om E:00 AM ro 5:00 pM ONL! ,mm O.tob.r 1 ro E, 2024,
in )udintSatord.y rdSurdry.
2. Attach lo this COC, the Ccrtifi(.tc o, Nomin.tion.nd A.ccptan (CONA), ilappticabte. .
3. Do not leave blank enkis and indtcare N-/A if m entry is not applicibl€- Print th€ ftont and ba.k pages o( the COC on a sin8l€ sheer
Oa(L to back) of folio or le8al€ize paper.
4. This COC shall b€ swom beforc . notaty pubri( or llly olfi.ht rulhoriz.d to adminiltcr o.tll COMELEC offi.irk r.-not .uthori.ld ro .ilminilt r o.ttr, crcn tn itreir
.:prciti6 rs Nor.ry Publl..
5. No (ilir8 tce rhrll b. iDpo3€d.
6. ThE COCwillbc postedon th. offici.l r^,eb3 e o, the Commission in accordance uth rhe Dah pri
I herebv announce mv candidacy for the position of PROVINCIAL
VICE4OVERNOR, Province of the May 12, 2025 Nntional
and Local Eleations (NLE) and BARMM Parlieh€ntr.y Et.ctionr (BPE); and alter having been swom to in accordance with law, I hereby state the
Iollowing:
Dav
2, NICKNAME OR STAGENAME: (hdi<.t ontv onc nirkEhc ot sr.F ,lm.) 12. PLACE OF BIRTH:
Cty/Mun
(t:n Nome, Fi6r Name OR Nidname, and Adonym ot Politic.l Party At{iliation as st red in llems I to 3)
0n <ae of i l.sauy ma6ed Lmale ondidale, 3h. ha ti. ortion to .ho6e .ith€. tEt duid.n nirne, Inamd name or both) 14. PROFESSION OR OCCUPATION:
5. RESIDENCryADDRESS
1 5.
s.2 Cirv/M!ni.iFalirv
E I III A RECISTEITID VOTER OF
5. PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BETORE MAY 12, 2025: 15. saue you ever t'een round liable lor an
offeru€ which carries k ilh it lhe accessory
TT-l I I I No o. Mmrh'
pnalty of perFtual di.qualincanon bo
6 2ln rh. abovl5ur.d PioviB fT-l hold public offi.e, whi.h has b€corn€ findl
and executory?
7. ADDRESS FOR ELECTION PURPOSESI {cour.i h.,h. *- d \-o n
f'l Ya (I'1.& p{ovxje det
'lrnrth.bxl)
IN"
8. E-MAIL ADDRESS, (NoE rn c.!.J.n',8. ol.dr'JE:,i @iL
,l.r& tuhry h6.d'rr.t th. corlElEc cllft.. pts. th. cclc $r l .a. ooEnri! dk6 *nt b lh. tE h r.d .Aa,s tldl b. dffid s.d )
'ndk
1Z I AM ELIGIBLE FOR THE OEFICE I SEEK TO BE ELECTED TO,
1& I ATI A TIUPNO CII1ZEN
19, I AM NOT A PERMANENT RESIDENT OF, ORAN IMMIGRANITO, A TOREIGN COUNTRY,
24. I EXECUTED A SWORN RLNUs-CI,\TION OF TOREIGN CTTZEMHIP. 0r PTC AIE CH A COPY)
21. ^TTELECTION DAY, MY TUL[, TRUE AND ITEMIZTD STATEMENI OF CONTABUTONS AND
I wlLL FILE I4TI1I THE OFETCE OF THE @MMI56ION, WITriN THIRTY (30) DAYS AFTER
rxPtNDtTURE9 (SOCE) tN CONNECTION WTIH THE ELEC',ITONS
22. I WILL AATDE BY THE RI,LE5 AND REGULATIONS OF THE COMMISSION, INCLTJDING TTS CODE OF CONDUCI ON SOCIAL MEDIA,
Z'. I SHALL NOI ADVOCATE VIOLENCE OR UN LAWFUL MEAM TO AGIIIVE MY OOATS
2I. I !!!LL SUP9ORT AND DEfEND I,I-IE CONSITUNON OF THE REPUBLIC OF THE PHILIPPINES AND wlLL MAINIAIN TRUE FAIft .qND ALLEGIANCE THER.EIO, I tvll-l OSEY THE LAII5,
LEGAL ORDEIG AND DECREFS iROMULCATEO BY THE DUIY CON TIUTED AUTIiORIIIE9.
25. I GTVE IIIY CONSENT TO THE COMMTsSION ON ELECI'IONS TO COLLECI, DTSCLOsE OR SHARE, AND PROCES6 THE PEILSONAL DATA I PIIOVTDED HEREIN FOR ELECTTON
AND OIHER
LA!('UIq PURPOSES IN ACCORDANCE WTIH THE PRTVACY NOTICE THE EACX OF TII'5 FORM, AND 4.5 MAY BE AUT}IORIZED AY EXISTIN€ LAW9
25. I INllosE THls oBLlGAnoN Ur{N ivfYsELF VoLUNTARIL, WITHOW ^T MENTAL RESERVATIoN oR PURIToSE oF EvAslo^v
I herebv certifv that lhe fa.ts stated herein are lrue and corre.t to the best ofmy knowled8e
-
(Affix P30.00 .locuhent.fl stamp)
{Offk€ Arthonzcd to Administo Oarh)
THl5l'oRlvtCAN EE PHO1 OCOPIED OR RETRODUCED Ar.iD lS AVAILABLE AT THE COMELEC OIFICES EREE OF CHARCE
QR \,lAY BE DoWNLOADEDFRoM l'lJE COMELEC OmCIAL WEBSITE hl}?.cohele..8o!.ph) FRO\.'T
CASE CASE TITLE DATE STATUS
DOCKET FILED
The coll€cted persorEl dara will be encoded in &e information sy.tem developed by rhe Commission on Ele.tiore (CoMELEC). Your CoC, as
welt as rhe p;rsonat dara inpu ed in rh. information Eystem, vill be evnluatEd by the Law_DePartment in accord.nce wirh the relevant
COMETEC ;les and poticies- Aft€r evaluahon, your peEonal dala will b€ us€d bv the COMELEC in rhe PEparation, posting and/or
pobtication of th€ list oa candidates and other election.relaled doornents or forms, and PrintinS of offi.ial ballols.
For tegitihare research needs and inquiries, and only ,or the purposes spe.ified in the r.qusl, the COMELEC rniy di!.los€ and shaE your
C()c;d/or it5 (onrenls- Mor@!er, th€ COMELEC my uee.nd dis.lose youi CoC and/or its.onicnls in any Pro<c.dinB or inv6tiSation in
whichyour COCand/or ils conErts islarc in issue o.may find r€levame
Onty a,rthorized peEonnelare attoi\,ed to acc.ss and pro.e.s your Petsonaldat . Immediately.alter th€ €ledion P€liod o! uPon the e\Piranon
and diSital .oPi6
or ti€ sto,.ge pe;od r€t i! exisrint COMELEC !ule5 and poli.ies, and laws and rc8ul.hons, whichevs aPPlies, the Physi..l
ot your periorul data will br ano;ymized, deler€d, and di*arded fonowing the disposition preedurs oI dp CoMELEC and the National
Archives of the Philippin€s.
you hale the righro aek ror a copy of your COC or any persoml data il conrai.'s. Also, you mav lvithdr.rv your .andidacy in .ccord.fte vith
the COMELEC rul€s and Policies on the hatter.
BACli
A{fix photo
taken within the
CERTIFICATE OF CANDIDACY FOR last six (6)
MEMBER, SANGG UNIANG months
INSTRUCTIONS:
1 filc.this certiGcare of candidacy (cog, in FrvE 6) IEGrBLE.opies ts h rhe CoMELEC o(ice concerned, 6o[i 8:m AM b s:00 pM oNLy, from ocrob€. 1 to E, 2024
in.ludinS Saturdry ed Sundry.
I AluLh to lhi5 COC, rhe Certific.tc of Nomin.rion .nd A.c.rtan.c (CONA), nDDtrcabte.
3 Do nol leave bla* entris md indicate N/A iIe entry is noiapplicabie. Print rh€ honr and back paSes of the coc on a sinSle
she€t (ba<k to back) of folio or leFlsize paper.
4 ThE coc shall be sMn-lefore r nota.y publi< ot rny olficial ruthorized to rdminbre! o.th. cbMELEc offi.irb d;ot.urhorizE
d to administer ortt, even ir th€ir
.apa.itie6 is Not ry Publi..
5 No filinE (ee rhau b. imposed.
6. This COC wiLl be onthe offi.ial websire of the Commission in accordance wiih the Dara priva rules and re8llahons
I herebv announce ndid for the Posr hon of MEMB E& SAN G GUNIAN G PANLALA $,I GAN
v
the M"y L2, 202s Narional and Loca E Iections (NLE) and B ARMM Parliamentary El€ctions (B
Distric PI I oI
PE) and after ha ving been
to in accordance with ia I by sta the following:
Male
E
2. NICKNAME OR STAGENAME:
l
11. DATE OF BIRTH
Dav
rl-r
ondicatc onry oac ni.kMmc or
12. PLACE OF BIRTH:
City/Mun
(Lasr Name, Ftsr Name OR Ni(kname, and Acronym ot polilicat pady Affiliation as srared in ltem 1 to3)
(ln case of a leEallv hamed Iemale @ndidate, she has the orrio. ro .hese eiiher hd h.iden
name, maEic.r eme or borh 14. PROFESSION OR OCCUPATION:
5. RESIDENCVADDRESS
15.
i.2 City/ MuniciFality
53 Baran8a}
I r,rlt a nrosrtrro r,oten or
r wrLL BE A REcrSrERm VOTSR Or:
E
6. I'ERIOD OF RESIDENCE IN THE THILIPPINES UP TO THE DAY BEFORE MAY 12, 2025: 15. Have you ever b€€n found liatle for an
No.orYrars LLI N. orMon$r offens€ which caries with it the accessory
TT_..l
6.2 h lhc abovLBtalli Dst i.t fTr p€nalty of perpetual dGqualification to hold
public orfice, whi.h has be.ome final and
8. E-MAIL ADDRESS
l'--I u"
(N&. r..r{ o, ch..Ec or rddro.,n Gtr,r.
plda turity hned''k! rh. col\rllEc a'frk wh€r.ih. c(t s.B rrt.d. o$$ve ndr6 *ni b oi h-o indkrEd.dd'6 5hrtr b. dcdn s,.d l
I A]tI ELICIBLE FOR THE OFFICE I SEEK TO DE ELECIED TO
r3. I AII A FILIPINO CITIZEIi,
19. I AM NOT A PERMANENT RESIDENTOF, OR AN TMMIGRANT TO, A FOREIGN COUNTRY.
20_ I EXECLTTED SWORN RENUNCL\ION Ot FORETGN CITIZENSHI?. (tF pPLICABLE, /\IT/\CH A COpy)
27. I FILE, I\'ITH AHE OFFICE OF THE COMMISSION, !\'TTHIN THIRTY (30) DA\s AFTER ELECTION DAY, MY FULL, TRTIE AND ITEMIZED
SIATEMINT OF CONTRIBUTIONS AND
'VILL
EXPENDITURES (SOCE) IN CONNECIION wl tH THE EMnONS
I WILL ABIDE BY TH! RULES AN-D REGULATIONS OI THE COMMISSION, INCIUOING IT5 CODE OF
CONDUCI ON SOCIAL MIDIA.
J SHALL NOT AOV'ICATE VIOLENCE OI{ UNLAWFIJL MEANS TO ACHIEW
MY GOALS
u. MILL SUPFORT AND DEFEND THE CONSTITUT1ON OF THE REPLtsUC OF TH! PHILIPPINES AND WILL MAINIAIN TRUE FAITH AND ALLECIAiICE THEREIO. I wlLL OBEY THE LAlvs.
I-ECALORDERS AND DECREES PROMULCATED BYTHE DULY CONSTTWED ATIIHORITIES,
E, I CIVI MY CONSINI TO THE COMMISSION ON ELECTIONS TO COLLECI, DISCLGE OR fiARE. AND PROCESS THE PERSONAL DATA I PROIV1DED
HEREIN FOR E LECITON AND OTHER
LAWFUL PURPOSES IN ACCOROANCE IVITH IHE PRIVACY NO]ICE AT THE BACK OF T'HE TORM, AND AS MAY AE 8Y EXTSTING T-AWS
26, I IMPO5E THIS OBLIGATION UT{)N NfYSELT VOLUNTARTLY, \4TIHOUT i/IINTAL RESERVATION OR PI]'RFO6E OF EVASION, ^I.'IHORIZED
I hereby ccrhfy thnr the facts stated herein are trueand cone.t to the b6tofmy knowledge.
OATH
SUBSCRIBED AND SWORN to befu re me this day of at . aJfiart exhibiting to me an ldmrification do<ument/cdd which
conr'ins a pholoFJph and signature beannt No.
-
-
(Af{ia 130.00 daumenlaw sr.hp)
(Officcr Aqthonzcd to Adminislc. Oarh)
-
THIS FORM CAN BE PHOTOCOPIEO OR REPRODUCED AND IS AVAILAELE AT THE COMELECOfFICES FREE OI CHARGE
OI{ l,lAY 8E DOWNLoADED FRoM THE COMELEC OFFTC]AL wEBSm (www.ohe)€c.gov ph)
FRONI
CASE NTLE DATE STATUS
DOCKE'T FILED
Th€ colle<t€d peEonal dara tviu be encoded in the iilormadon s)'stem develoPed bv the cornmission on El(tiore (CoMELEC) Your COC, a5
e\€luared by rhe_ trw-DePartment in actordan € with the relevanl
*"it * G. pl,*-f ar" inputred in the inlomation sysrem, Mll beq,i
ioruiLii tr"" .ra porci;s. Afcr evaluarion, your personar dara re used h) rhe coMELEc in the Frepara.ion, FosrinS ind/or
pubticahon of lhe litt oi candidates and other ele<tion-'elated documents or forms' and PnntinS or
o#i'bl ballots'
share louI
For lecrrimare ncrds and mquiries, and onlv lor rhe PurPoses lP€<fied m lh( requel the CoMELEC uuv dri(loa'ed
r6r.rrh (ontcnrs ,n sy P,*Fdint or inv6titarion in
;- ,";;;; [;;;" Moreo,er. rie coMELEC nray use and dixlose vour coc.nd/or ir!
which l,our COC andlor its contents islare in iJsue ot hav find rel€ean'e'
or uPon thc €xPrralton
arnlv aurhonzed D€rsonnet ,re alowecr to ncces5 nnd pro<es your peBonal dal!. lmmedrately .rrler the ele.tion P€nod
physicarand d,Fral(oPies
;i;";;;;r;ilJ;,; j"" e\iihnB coMELEc rures d pori;is..nd rawsnnd r.gurnr,ons. whrheve,.ppries, the
ii y.". i.,i."a- ..,I br aio;ymized, delered, and dis..nted folowing the disposirion p'dedrr6 of ihe coMELEc and rhe n-anonal
Archiv$ of the PhiliPPin€s.
Youhagelherighttoask,oracoPyo,you'cocoranyP€Eona|d.l.it<ont.ins.Alg,youfrywithdrawyourcandidacyin..!ordan<ewilh
lhe COMELEC rules and Polid€s on th€ rnntter.
lf you have questions rEFrding thi-s Priva€v Nolic€, Pleas€ send an email lo 'll!4Ji!n'l' r lqi'/I
I]ACK
Affix photo
taken within the
CERTIFICATE OF CANDIDACY FOR last six (6)
MAYOR months
Passport Size
INSTRUCTIONS
1. Iil!' this Certi{icate oI Candidacy (COC), in FIVE (s) LEGTBLE .opics with rhe COMELEC Ofiice conceme4 fton AM ro s:m pM ONLY, fmm
in.ludinS Satudry d Surday.
s:00 Ocrobe r tb a, 2024,
2. Attach to this COC, th. Cenificitc of Nomin.rion.nd A(ccpt.n.e (CONA), ifapplicabte.
4 Thr coc shall h€ swom before a nokry prbli( or any offidal authorizEd to edminbrer orrh. CoMELEC officirb are-not authorized ro admini.re! o.rh, even in rheir
.apacities as Norary Publi(.
5. No filint fee shall be iEposed
6. ThisCOCwill be o! the ofti.irl websitc of the Cornmission in accordan<e wirh rhe Data pn
i hereby announce my candidacv Ior the position of MAYO& City Municipalit_v of /
province of the _
li]{ay 12,2025 National and Local Elections ( NLE) and BARMM Parliamentary Elections (BPE); and after having been
swom to in accordance ivith la w,I
hercby state the following:
! "," f]*.,"
11. DATE OF BIRTH:
Dav
2. NICKNAME OR STAGENAME: 0ndi.at only onc nicknamc or srasc niF.)
12. PLACE OF BIRTH:
tTn City/Mun
(Last Nahe, Fnst Name OR Ni.kname, and Acronvm of polirical party Affiliarion as srated in kems 1 ro 3)
{ln..re of a leqally haried ,emale dndidate, she hs rhe oplrm lo (he* erttEr her m den Eme, meied Mme or borhl 14. PROFESSION OR OCCUPATION
5. RESIDENCVADDRESS
15
5.2 citv/MuniciFaliry
5.3 BaranSa) trl I -,\]!I RECISIEREO VOIIR OF
E
tl-n-rtl-fll
I wlLL BE A REOISTERED VOTER OT
6. PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BEFORE MAY 12, 2025: 16. Have you ser becn round liable lor an
Ihrrebv.eItif_v that the facts stat.d herein are rruc and corer ro rhe bes r of hv }nowtedge.
OATH
SUBSCRIBED AND SWORN to before me this day ot at affiant exhibitinS to me m Id€nhlication document/cad which
.ontains a photoSraph and si8nah]re bearing No
- -
-
(Afflr P30.00 dmh€ntar slamp)
(Offi.ci Authonzcd to Administo Oath)
- -
IHI5 FoRlvl CAN 8E PHOTmoPIED OR REPRODUCED AND tS AVAILASLE AT THE COMELEC OFFICFs fREE OF CHARGE
oR \,lAY BE IKIWNLoADED FROM THE COMELEC OFFTCTAL wEBSrr! (rNw.comete.Eo!.ph) ERONT
CASE CASE TITLE DATE STATUS
DOCKET FILED
The co ecled peEoBI data will he encoded in the inlormation .ystem developed by th€ Commission on Ele.tions (CoMELEC). Your COC, as
well a5 rhe p€rsonal data inpurred in the information system/ will be evaluated by ihe Law DePaltment in accordance with the relerant
COMELEC rul6 and poli.ies. After eraluarion, your p€rsonal data will b€ us€d bt the COMELEC in the prePardlion, Postrng and/or
publication of the list oi candidaks and other election-r€tat€d documents or folffi, and pnntinS ol ofhcialballots'
For legiHrnate r€search needs and inquiries, and only for the purposes spe.ified in the Rqusl, the COMELEC nay di3closc and thare vour
COC ;d/or irs conrenrs- Moreove., rhe COMELEC Ey us€ and die.lole voul COC an.l/or its contents in any PrEeedint or inv6tigation in
which your COC and/or its conlents islarE in i5sue or may find relevance.
Onty authorized p€rlonnet are allo$.€d lo acc$s and process your perronal data. lmmediately.alter the ele<iion Period ot uPon the exPtation
of the 3toraSe period ret in exishntCOMELEC rules and polici6, and lalvs and regulaliont, whichevs apPlies, the PhFicnl nnd .li gitnl <oPies
of your p€;nal data q.ilt be ano;ymized, delered, and dis.arded following the disposition prdedu€ of the COMELEC and lhc National
Archives of th€ Phnippin6.
you have rhe right to ask lor acopy olyourCOC or.ny p€.sonrl data it contains. Also, you may r$rhdrarv your (andidacy in accordance with
lhe COIIELEC rules and Poli€ies on lhe matter.
lf you have questions rega.diry this P.ivacy Notice, Plea* s€nd an email to ,!ElaJ"!xf i'lli' plr'
BACX
Alfix photo
taken within the
CERTIFICATE OF CANDIDACY FOR last six (6)
VICE-MAYOR months
Passport Size
INSTRUCTIONS.
1' File thts Cerri6cate oI candtdacl (coq in FIVE (s) LEGIBLE .opies with
rhe coMELEc office concemed, fmm 8:00 AM ro s:00 pM oNLy, from ocrober
includint Saturday sd Sund.y. 1 ro & 2024
2. Attach to this Cm, rhe C€rtifi(rrc of Nomination and
A.cept n(e (CONA), if appticabte.
'r' rhc coc shall b€ s*m before not'rv Publi( or:nv ofriciai authoriz:rl o.a-iJr".
c.pr.iHes as Nor.ry pubti(. ' ".tr'
cbuELEc offi.iab a-not.utr,!ri^Jt ..a-ri"t". o.rh, cven itr their
5. No filing
fee ohall beimposed.
6- Ths COC wiu be on the orficial w€bsite of the Commission in nccoidance
wi
I hereby announce my candidacv Ior the position of VICE-MAyOR,
Ciry Munjcipatrty
the May 12,2025 Nationat and Local Elections (NLE).nd BARMM parliamcnrary
Province of/
El€ctions (BPE); and after having been swom to in accordance rvith la.iv, I
hereby state the folloiving:
1. NAME:
9. SEX: 10, AGE:
Male
Dav
2, NICKNAME OR STAGENAME: (rndicat only om ni.l{Eme or
12 PI,ACE OT BIRTH:
CitylMun
3. OFFICIALLY NOMINATED By: rerr.r. co^-,rr
15.
5.2 Cnv/ Municipaliry
53 Barangay E I A]!I XTCIsIER'D V(yrER OF
6, PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BEFORE M A! 72,2025: 16. n you ever been found liabte tor an
ri 1 ln lh€ Irhrlipp'fts
f l l No.orycs | | NoorMonths ""
oflcnse whjch cames wirh it lhe accesory
6 2lr th. abor(sr.reJ crrv/Mui.ipalitl p€nalty of p€rp€tual disqualificarion ro
hold public offi<e, which has b(ome finat
and e)(e.utorv?
7. ADDRESS FOR ELECTION PURPOSES: ,c.urdhe,h.sfr!nNo n
Yes (Pr.,* provi,t€ der t' rt the ba(k)
E
8. E-MAIL ADDRESS: _
l-'l N.
(Nod rnr.{o,.bns. oi.dd. ail q mln
pr.ac mlrv ,mn€dBr.ry $. covElrc or,,Q vh@ rh" coc w,5 a .d (lh6n* rcu(- 5r b rr,. r.En
I AM ELIGIBLE FOR THE OFFICE I SEEX TO BE ELECIID TO,
18, I AI\'I A FIUPINO CITIZEN
IAM NOTA PER ANENT RE5IDENT OF, OR AN IMMIGRANTTO, A TOREICN COUNTRY.
20. I EXECU-IED A S1{oRN RENUNCT\TION oI IOREIGN CtnZENSHt!. (tr PPLIC BL!, ]\TTI\CH A COpy)
I i!'ILL FILE llTfH THE orFIcE oF THE coMMISsloN, wrrHIN THIRiy (30) DAys
27,
AFrER [rcnoN
oAy, r,ay ruu- TRuE AND ITEMIZTD STATEMENT oF coNTREUTIoNs AND
EXPENDITURES (SOCE) IN CONNECIION wlTH THE ELECTIONS
I wLL ABIDE !Y TllE RIJ'LES AND REGULATIoNS oF THE coMMrrgroN, INCLUDING ITs
22,
coDE or coNDUcr oN g:rrAr MrDrA
23. I SHALL NOT ADVOCATE VIOLENCE OR UN LAWFUL MEANS TO ACHIEVE MY GOAI-S.
74. I !{ILL SUPIORT AND DEfEND TH! CONSTITUTION OF THE REPUBLIC OI THE PHILIPPINIS AND WILL
MAINIAIN IRUE FAITH AND ALLEGIANCE TIIEREIO, I WILL OAEY IHE LAW9
I,ECAL ORDERs AND DECREES PROMU LCATED BY THE DULY CONSITTUIED AUTHORlrlEs
25. I CIVE MY CONSENTTOTIII COL{IVosSION ON ELECTIOI\5 TOCOLLECI, DISCLGE OR9IIARI,
AND PROC[.S6THE PEXSONAL DATA I PROVIDEO IIEREIN IOR ELECTION AND OTHER
LAIVFUI PURPOEES IN ACCORDANCE WrIH THE PRIVACY NOTICE ATTHE BACK OFTHISFORM, AND AS MAY SE AI'IHORIZED BY EXISIING
LAIVS.
26. lIMInsE T']dIS O8UGATION UPON MYSELF \oLL]IITARII Y, WITrIOUT MENTAL RESERVATION OR OFEvASION
I heEby .ertif), thal the facts stated herein are rue and core.r ro ihe best of my knowledge
OATH
SUBSCRIBED AND SWORN ro before me this dav of affiet exhibiring to me an Idenrification do.ument/card whi.h
contains a photo8raph and signature b€arin8 No.
THIS roRI',! cAN BE PHorocoPlED oR REPRODUCED AND Is AVATLAELE AT THE coMELEc oFFlcEs FREE of CHARGE
OII MAY BE DOIVNLOADED FRONT THE CoMELEC OFFTCTAL WEsSrTE (wlry.cohelE.gov.ph)
FRONT
CASE CASE TITLE DATE STATUS
DOCKE'T FILED
The colle.red p€rsonal dara will be en oded in rhe information system developed by the Commissiotr on El€ctions (COMELEC). Your COC, as
rvell as the p€rsonal data inputred in the information system, wiU be elaluated by lhe Law DeFartment in a.cordanc€ wilh the relcvant
COMELEC rutes and poli<ies. Alrer evaluation, your personal data wili be used by the COMELEC in the preParation, PostinS and/or
publi.ation of the listof candidates and other ele.tion'rela ted documents or foms, and Pnnting otofli.ial ballols.
For legftimare resea<h needs and inquiries, and only for the purposes specili€d in the request, the COIVIELEC may dis.lose d share your
COC;d/or its.onrenrs. Mor&ver, the COMELEC My use and dis<lose you. CoC and/or irs contcnts in any prff@ding or inveslitalion i,l
vhich yourCOCand/or its contents islarein issueorhay find televance.
Onlv authorized personnel .re atlo$.ed to ac.6s and process your prsonal data. lmmediately a{l€r the election P.riod or uPon the exPitation
ofthe storage peiod set in existinS COMELEC rul6 and policies, and las's and regulahons, rvhi.hever aPPlies, the phvsicaland diSitalcoPies
of ],our pcr;onal dara rLilt be anonymized, deleted, .nd discarded follos,ing the disposition p,o.c.1ur6 of the CoMELEC and the i'valional
Archi\,€s of the Philippines.
you havc rhe nghr to ask for a copy of your COC or any p€rsonal data it contiins. Also, you ma), withdraw your candida€y in accordan( rvrth
the COMELEC rule, and policies on the matter'
If you have queslions regeding this Privacy Notice, Please s€nd an email lo ,i{41 .dr.1'1.
' l('tLllll.
BACI
Affix photo taken
CERTIFICATE OF CANDIDACY FOR within the last six
(6) months
MEMBER, SANGG UN IANG PANLUNGSOD
Passport Size
INSTII,UCTIONS
'l' lile this cenificate of candidacv (cog, in rIvE (s)
LEGIBLE copies with the coMELEc orlice concemed, frcm AM ro pM oNLy, fron o.ro
including Saturday ..d Sunday.
8:00 5:00 ber t ro a, mz4,
2. Alta<h to this COC, the Ccrtifi<are ol Nomin.tion and A.c.pre.e (CONA), ifapplicabte.
{' ThF ct)c shall be swom lelore . notUv publi. o! sy offi.i.l
.ap.cities & Nohrv Publi(.
autho.ized to rdminister oath. cbMELEc ofii<iaL .r;ot .udroriz.d to r.rminist€r o.th, even in th.ir
5. No lilirt f€e shall;e impo6ed.
6. This COCwiU be posred on rhe offi(i websit. ofthe Commission in with the Data Privacv Act and irs im tules and regulations
I hereby announce my candidacy for the position of MEMEE& SANGCIJNIANG PANLUNGSOD, Distric! City of
Province of in the May 12, 2025 N.tional and Lo.al Elections (NLE) and BARMM Parliamentary Elecrions
(BPE); and after having been swom to in accordance with Iaw, I hereby state the following:
1. NAME: 9. SEX: 10. AGE:
Male
5.1 ftoyime
15
Cit!/M!
E
s.2 niciFah$
5.3 Ba.angay I AIU REGSTE*EO vOTtR <IF
6, PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BEFORE MAY 12. 2025 16. Have you ever been found liable for an
t_I fT-l offense which caries wirh it rhe a..essory
6 2ln dr a6ov.-5talL{ C1w/Nlmcipali\
fT.] rT-l penalty of perpetual di5qualifi€arion to hold
public offi(e, which has berome 6nal a.d
7. ADDRESS FOR ELECTION PURPOSES: €o!r.r b.,hc nm., N-o
l-l YBrPlerFDrovd.d€b,lsrrth.b:.kr
I lrreby certily that the tacis Etated herein are rrue and.one€r to rhe best ofmy knowledSe
OATH
SUBSCRIEED AND SWORN to b€lore me lnis dav 6f t affi{t erhibitint to m. an ldentifi.ation dmment/@d which
.ontains a photoSraph and si8nature bearing No.
I
The coltecled p€rsonn dah wilt b€ encoded in lhe inlorm.tion sysrem devetoFd by lhe Commission on Ele(tions (COMELEq. You COC, as
well as th€ personal data inpurred in thc inlormation system, will bQ evaluatcd by the Laiv DePartment in .ccordance with the relevant
COMELEC iutes.nd polici6. Afler evaluation, your personal data will b€ us€d hy the ColvlELEC in the preFaration, PostinS ard/or
publi€atiofl of the list oi candidat€s and other ele.tion-related doruments or foms and Printing of oflidalballot3.
For legirimare reseafth needs and inquiries, and only lor rhe purpoles specified in the lequest, the COMELEC may dislose and share your
COC ;d/or its conrents. Moreover, tllc COMELEC may us€ and dis<los2 your CoC and/o' ils contents in any proceeding or investigation in
whichyourCOC and/or ils .ontQnts islare in issu€or may find rQlevanct.
Only .urhorized p€rsonnel .re allorved to .cess and pro<e5s yoqr peEonat data- Irnmediately aFtcr the election Pcnod or uPon the exPtation
of rhe storag€ peliod Et in eii5rint COMELEC rules and policiE3, and laws and regulations, r(hichevet applies the phFi@land di8rt1l.oPies
of tour personat aata q,itt bc anonymiz.d, deleted, and discarded iollowint rhe disposition procedu.es of lhe COMEI.EC and the Natonal
Archiv6 of lhe Philippind.
you have rhe riShr !o ask Io. a copy of vour COC or any FBral data it.onLir! Also, you rna) wirhdrar! ),our candidacy in acrordffie ivith
lhe COMELEC rul€! and policies on the matlcr.
lf you havequetions regardinS lhis Privary Notice, Plcas€ s€nd an emailto J&)4.n,!.i.' r'r',1''
aAc(
Affix photo
taken within the
CERTIFICATE OF CANDIDACY FOR last six (6)
MEMBER , SANGG UNIANG BAYAN months
Passport Size
INSIRUCTIONS
I ths certifiQte oI candida.v (coq in rIvE (5) LEGIELE.opica w h rhe coMELEc otfice conehed,
File
fEE E:m AM b 5{o pM oNLy, rrom odob.I I to E,202d
in.ludinS s.rurd.y d Sund.y.
: Att.rch ro lhir COC. rhe Certifi..t of Nomin.tion d Acc.pr.n.G (CONA). ifapph(abte.
3' Do not I'ave blanl entries and indi(ate N/A il m .nEv i! noi applicabl€. P;t
thJ&onr d back pag6 of the coc on
4 ThF coc shall b€ 3raod bdoE . noi.rv Publi. or rny officirl ru0roriz:d to .dminist r orttL coMELEc ofticirLa sintle sheer (bet ro back) of fotio or tetatsize paper.
.ep.r.itic! rs Not ry Publi..
.t€;t.utho.tzld bo icmini.t.r o.th, .v.n in rheir
5. No filing fee lhrU be iEpos€4
6 Thts COC will tc po3rcd on rhe offi.iat wcbsitc of rhe Comndssion in accordance with rhe Dera
I
h€rebv announce mv candidacv Ior the postion of MEMBE& SANCGUNIANG BAYAN,
DisEicL Municipalitv of
Province oI the May 12,2025 National and Lo.al Elections {NLE} and B ARMM Parliamentary Ele(tions
(BPE); and after having been srvom ro in accordance with Iaw
, I hereby state the following
!*. n
11. DATE OF BIRTH:
15.
5.2 Cir!/lvl!tucif'.ln!
3.3 Barangay E I .l!l A REGETERID VOITR OF
I
E I $1LL AE A REO'ISTEiED VOTER OF
6. PERIOD OF RESIDENCE
I
I hcreby certify that the facrs stated herein are rnre and corre.i ro th€ b€rt of my knowl€d8e
OATH
SUBSCRIBED AND SWORN ro befor€ me th's _ day o, t affiant dhibirinA to me an ldenrifiGtion do.urnenr/card which
conlains a phoroFaph.nd siSnnture bearing No. issued by on _
--
(Alrix P30.00 do<umenb nanp)
(Officq Autho.i2cd ro Adminisr.r Oa$)
-
THIS FORM CAN OE PHOIOCOPIED OR REPRODUCED AND IS AVAILABLE AT THE COMELEC
OfFICE5 FREE OF CHARGE
OR nrAY BE OOWNLOADED IROM THE COMELEC OFIICIAL WEBSm
{M..onet.<.8or ph) FRO\.'T
CASE
=-=--cAsETrtLE DATE STATUS
DOCKET FILED
The coleced personal dara wil b€ en odcd in the infonnation syltem dev.loped b)' rhe Cohmission on Aections (COMELEq. Your CCr, as
wel srhe p€lsorEl data inputred in the information system, wiil !e cvaluated by lhc Law-DePartment in a..ordance with the rclevanl
CoMELEC iuls and polici&. efler el,aluarion, yo'ir p€Eonal data will b€ used br- the CoMELEC in the PrePa.ahon, Posting and/or
publicarion of the list oi candidate5 and other election-related do.umenB or forrns, and pnnhng of official ballots.
neects and inquines, and only for the purpos€s specifi€d in-the requ€st, the COMELEC may disclose a.d
share your
t--or letitimate resea'ch
COC;d/or ils conrents. Mo."o""., ti* COUtt-gC .uy u3e and di<lose vour COC and/or its cont.nts in any proceding or investiSation in
rvhich -vour C(rc andlor ils.ontcnls islare in issue or may find relev.ncQ'
Ontv authorized oeEonnel are allowed ro acc€$ and process your personal data. lmm.ldiately after th€ €le.tion P€riod or uPon lhe exPiration
,t"r.g. *, i' eEsting CoMELEC rules a;d poliaies, and laifs and reSulations, rvhichcver aPPli€s, the Physital and diSit.lcoPies
pj"a
"rirfu
ot your aara wilt bc ano;ymiz€d, doteted, and di..ard€d following the disposition p'd..lur6 oI the CoMELEC and the National
ffiiat
Amhives of the Philippins.
yo,r have the right to ark for a .opy of your CC]c or ey personal data it contains. Also, you may withdraN vour cddidacy in accordance rvith
the COMELEC ruler and policies on &e matier.
lf ),ou have questions r€Sarding lhis Privacy Notic€, Please send an em'il to !l9B!144!i!iIl
BACR
Affix photo
CERTIFICATE OF CANDIDACY FOR taken within the
Iast six (6)
DISTRICT RE PRESENTA TIVE, months
BARMM PARLIAMENT
Passport Size
INSTRUCTIONS
(cos in FIVE {s) LEGIBLE (opic. rv h
' :x:I:IilT:'ff["r'l"H:l*Y rhe coMELEc orrice concemed, r.tr 8:00 AM ro s,00 pM oNLy, rroo' odober I ro 8, 2024,
?. ,\lrr(h ro this COC. $e Certifi.ereof Nomin.rion rnd
Ac.eplan.e (CONA). rfdpptxdbte.
3' Do not leave blan-k entri's ard indicate N/A entry rs not applicable. ife
thJkort an r ba.k pates of the P;t coc on a single sheet (ba.k
to ba.k)or rorio o. regal-ri?a pap€r.
' a notary pubri. m inv t. "rrtih
,,tt..i,"a .a-iJi.'1.,r, cburrec *t.rJ","'*il,.-,i'-i*i-i
H::?::::]j"bjjX'J,!erore aamiaistet oath, cven in rheir
5. No filinE fee shalt b€ imposed-
6. Thrs COC wiu be posted on the offi.i.twebsite of the Commrssion in accordance with the Dara pri
I
hereby announce my candidacy Ior the position oI DISTRICT
REPRESENTATM BARMM PARLIAMENT,
Province of in the May 12, 2025 Na(onal and Lo.al E lections (NLE) and BARMM parliamenrary District, City of
att{r h,avint been swom to in accordanc; th lalv, I hereby state Etec tions (BPE); and
rhe following:
1. NAME:
9.SEX: 10. AGE:
f]"* n
11. DATE OF BIRTH:
Dav
2. NICKNAME OR STAGENAME: {rndrcatc o.ly onc <ktumc or nmc)
'ra8c 12. PLACE OF BIRTH:
Cirv/Mun
3. OFFICIALLY NOMINATED By: (Atra<h coNA)
5. PERIOD OF RESIDENCE IN THE PHILIPPINES UP TO THE DAY BEFORE ELECTIONS '16, nave you ever been found liabte for an
oUen* whr(h onies wrth ir lhe accBson
6.? Ir th. aborc-srar.d Distri.t/Cik/ ftovm(c peclty ot p€rpetualdisqualificahon ro holi
public offie, which has becom ffnal a.d
7. ADDRESS FOR ELECTTON pURPOSESI ,courd b€.r..qtu..N"
f-_'l Ys lPlers. qov'.le dea,lr nrrr]e b,cl,
5
OATTI
SUBSCRIBED AND SWORN to before me this _ day of t aJiant exhibiting to me an Identification document/card which
contains a photoSraph and signature beannS No. issued bv
-
(Affix 130.00 docum.ntary sramp)
(Officcr Authonzcd to Administcr Oarh)
-
THIS }ORN'CAN BE PHOTOCOPIED OR REPRODUCED AND IS AVAILABLE AT THE
COMELEC OI.TICE' IREE OF CHARGE
On I\,AY BE DowNLoADED FRotlr THE COMELEC OFFICIAL WEBSIrE (rl1ejoh€t<.sor.ph)
ERONT
CASE CASE TITLE DATE STATUS
DOCKEI NLED
.^d inquiriG, .nd only (or the purpose! sFcifi€d in lhc requ€si, the COMELEC ma!' disclosc and share your
Eo' legitiniare rca€aj<h nc€ds
COC;d/or irs conrents. Moraover, rlte COMELEC may u3€ and dis.losc yo( COC and/or its contents in ahy ProcedinS or inv6tisalion in
whi.h you. COC and/or its conlents i5lare in i5sue or rnav find .elevance.
Onty autholized p€Mnn€l are allos.ed ro a..es! and pro.6s your Frsonat dal,- lmmedialely arter th€ el€(lion P€nod o. uPon the exPiralion
of lhe srorat€ penod ser in €xistint COMELEC rul.s and policies, and laws and rcgulations, which€ver aPPlies, the Physiol and di$tal.oPies
of ],our p€;;at dar. $,ill bc anonynized, delered, and discarded following the disposition prdldures ot the COMELEC and the Nationnl
AirhivPs of the Philippines.
you have the riShr to aik fora copy ofyour COC or any personaldata itcontains. Also, you hay withdraw your candidacy in ac.ordance rvith
the COMELEC rules and Policie! on the rnatte..
r you have questions regarding this Privacy Notice, Ple.re send an email io :1{'3rqt'i''.Jqi' Il''
BACl\
Annex "L"
t, of candidatc), of legal
a8e, Filipino, and a resident of
hereby
authorize also of legal
age, Filipino and a resident of
to file my
Certitificate of Candidacy for the position of in the
May 72, 2025 National and Local Elections (NLE) and BARMM parliamentary
Elections (BPE).
(Date)
(Date)
NOTICE/DISCLAIMER: AII authodzed reciPi€nts of any personal data, persorul inlormatiory privileged inJormation and sensitive
Personal in(omation contained in this do('ument, induding other pertinmt docummts attached thereto that are shared by the
Commission on Elections in comPliance with existinglaws and rules, and in conformiry with the Data Privacy Act of 2012 (R.A. No.
10173) and its lmPlementint Rules and Regulations, as well as ihe pertinent Cfuculars of the National Privacy Commission, are
similarly bound to comPlv with said laws, rules and regulations, relatint to data privacy, security, confidentiaiiry, proteclion and
accountabilitv.
Annex "M"
Instfuctions:
1. Kindly write the names of the aspirants inside the queuilrg area. Only aspirants with properly filled-out Certificates of Candidacy and Certificates of
Nomination and Acceptance, if any, shall be included in the list of aspirants in the Queuing Area.
2. Write the names of the aspirants in cluonological order. Observe continuous numbering. Additional slreets may be used.
3. The names of the aspirants shall be announced in the order in which they are listed.
4. This List shall be submitted to the Law Deparhnent after the period for filing.
NO. NAME OF THE ASPIRANT POSITION TIME OF LISTING NAME OF COMELEC SIGNATURE OF COMELEC
ASPIRED FOR PERSONNEL IN.CHARGE PERSONNEL IN-CHARGE
(Date)
Annex "M-1"
Instructions:
1. Kindly write the names of the aspirants inside the queuing area. Only aspirants with properly filled-out Certificates of Candidacy and Certificates of
Nomination and Acceptance, if any, shall be included in the list of aspirants in the Queuing Area.
2. Write the names of the aspirants in chronological order. Observe continuous numbering. Additior.ral sheets may be used.
3. The names of the aspirants shall be announced in the order in which they are listed.
4. This List shall be submitted to the Law Deparhnent after the period for filing.
NO. NAME OF THE ASPIRANT POSITION TIME OF LISTING NAME OF COMELEC SIGNATURE OF COMELEC
ASPIRED FOR PERSONNEL IN.CHARGE PERSONNEL IN-CHARGE
(Da te)
Annex "N"
Instructions:
1. Kin<tly fill-out the relevant information and submit to the Law Department. Additional slreets may be used.
2. If wrong entry is recorded, kindly strikethrough with a single line the wrong entry and affix a signature.
3. If there is no instance of non-receipt of Certificate of Candidacy during the filing period, kindly record this information in this Report, by noting "ALL COCs
are received". Tl.re Receiving Officer shall also include the date and his or her signature.
NO. NAME OF TIIE ASPIRANT POSITION ASPIRED DATE PRESENTED TIME PRESENTED REASON FOR NON-RECEIPT
roR FOR FILING FOR FILING
(Date)
sid l.ws, rules.in.l rcsul.nons, rclafir8 todata privacy, {cu nly, .onlid.nli.ti ty, prot(rjonnnd nc.olntabil y.
Annex "O"
Instructions:
1. Kindly continuously record all relevant data on the log sheet from October 1 to 8,2024 and submit to the Law Deparhnent. ln case the log sheet becomes full,
additional sheets may be used.
2. The data shall be recorded in chronological order as they have been received. Observe continuous numbering.
3. If wrong entry is recorded kindly strikethrough with a single line the wrong entry and affix a signature.
4. The Log Sheets must be closed on each day from October L to 8, 2024, at 5:00 PM. To do so, kindly place a line immediately after the last entry for each day,
write the word "CLOSED", inclicate the clate and exact time of closing, and include the signatures of tlre Receiving Officer and 2 witnesses, if available.
5. ln case no COC is filed on a specific date, the Receiving Officer shall record tl.ris irformation ir-r the log sheet by r-roting "NO COC FILED", The Receiving
C)fficer shall also include the clate and his or her signature.
LOG SHEET
May 1,2,2025 National and Local Elections (NLE) and
BARMM Parliamentary Elections (BPE)
NO. NAME OF THE POSITION NOMINATING NUMBER OF DATE FILED and SIGNATURE OT THE NAMEAND
ASPIRANT ASPIRED FOR POLITICAL COCS FILED ACTUAL TIME OF ASPIRANT oT NAME AND SIGNATURE OF THE
PARTY/COALITION AND RECEIVED RECEIPT SIGNATURE OF THE RECEIVING OFFICER
OF POLITICAL AUTHORIZED
PARTIES REPRESENTATIVE OF THE
ASPIRANT IF NOT
PERSONALLY FILED
I]=
sid I.ws, rulesind rcAulatio.r, rclatingrodata priv..y, {ctrrity, .onli.tcntii lity, trorc(rin nnd ac(ounr.biliry.
Annex "P"
Day No.
TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE TEMALE TOTAL MALE FEMALI
[-[ r
Name>
I
<# Provincial Legislative
Diskict>
<# Provincial Ledslativc
District>
<# Provincial Legislative
District>
<# Provincial Legislative
District>
<# Provincial Legislative
[-l
District>
<# Provincial Legislative
Dishict>
Daily Report on the Number of Aspirants who Filed their
Certificate of Candidacy per Elective Position by Sex
May -12,2025 National and Local Elections
and BARMM Parliamentary Elections
Day No. _
Province/City/ M€mbers, Sangguniang
Mayor Vi(e-Mayor
Municipality Panlungsod/Bayan
(Province Narne)
l
<Name of
1
City/Municipality>
<Name of
2
City/Municipality>
<Name of
3
CitylMunicipality>
<Narne of
4
City/Municipality>
<Name of
5
City/Municipality>
<Name of
6
City/Municipality>
<Name of
7
City/Municipality>
m
<Name of
B
City/Municipality>
<Name of
t
9
City/Municipality>
<Name o(
10
Citv/ Municipality> ]
Daily Report on the Number of Aspirants who Filed their
Certificate of Candidacy per Elective Position by Sex
Il'lay 12,2025 National and Local Elections
and BARMM Parliamentary Elections
Day No.
Members,
Region /Province/ City/Municipality Member, House of
Representative
Mayor Vice-Mayor Santtuniant
Panlungsod/Bayan
M F M F M F M F
NATIONAL CAPITAL
REGION
<Name of City- ----T---[
ffi
1
Municipatity>
<# Legislative District>
T T]
Municipality>
<# LeBislative District>
STATEMENT OF WITHDRAWAL
\ (Name of ccurdielate), of legal
a8e, Filipino, and a resident of
after having
been duly sworn to in accordance with law, state as follows:
-
3. My substitute shall be (Na,:,le
of Substitute; if flotre, please wite N/A)
-in
(Name and Signature of Candidate)
(Date)
_;
Doc. No.
PageNo. ;
BookNo. ;
Series
-.
NoTICE/DISCLAIMER: All authorized recipients of any personal data, personal information, privileged information and sensitive
Personal information contained in this document, including other pertinpnt documents attached tlrereto thar are shared by the
Commission on Elections in compliance with exishng laws and rules, and in conformity with the Data Privacy Act of 2012 (R.A. No.
10173) and its ImPlementinS Rules and Regulations, as well as the pertinent Circulirs of the National Privacy Commiision, are
similarly bound to comPly with said laws, rules and rcgulations, relating to data pdvacy, security, confidentiaiity, protection and
accountabilitv.
Arnex "R"
AUTHORITYTO
SUBMIT STATEMENT OF WITHDRAWAL
I,
of legal age, (natrc of catdidate),
Filipino, and a resident of
hereby authorize also of legal
age, Filipino, and a resident at
to submit my statement of withdrawal, due to my physical incapacity to f e the same
as evidenced by the attached
(Date)
(Date)
Series _.
NOTICE/DISCLAMER: AI authorized reciPients of any personal dat4 personal inlormatiory privileged informarion and s€nslive p€rsonal
irdormation contained in this document, includinB other pertinent documents attached thereto that an shared bv the Commission on
Elections in comPliancc !'\'ith existing laws and rules, and in conJormity with th€ Dara Privacy Act ot 2012 (R.i,. No. 10173)
and ts
ImPlementin8 Rules and Re8llations, as well as the pertinent Circulars of ih€ National Privacy Commission, are simitarly bound
to compty
with said laivs, rules and rcplations, relating to data privacy, security, confidentiality, protection and accountabilitv.