Certificate of Candidacy + Certification USC-SSC Election 2015

8/9/2019 Certificate of Candidacy + Certification USC-SSC Election 2015

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For inquiries, contact Comelec Chairperson Danica Blanche Fernandez at 0933 437 64 99 or email [email protected].

CERTIFICATE OF CANDIDACY

I hereby announce my candidacy for the position of _________________________ in theMarch 5, 2015 Election; and after having been sworn to in accordance with law, hereby state thefollowing:

Name:_______________________________Family Name, First Name(s) Middle Name

Stage name: ___________________

Birthdate:______________________Month/Date/Year

Civil Status: ___________________

Place of Residence:_____________________________________________________

Course and Year: ___________ Department: ____________ College: ____________

Length of residence in USC: ___________________In Years/semesters

Current Academic Load: ________As of 2nd semester AY 2014-2015 only

Political Party: _______________________________Indicate Independentif running independently

Contact Number: ________________ Email: _______________________________

Authentic Social Media AccountsPursuant to Art 9 Sec 7a, all candidates shall declare all their social media accounts used to campaign for the purpose of eliciting votes upon submission

of Certificate of Candidacy. You may place in a separate sheet other social media accounts that may not be accommodated in the space provided

Facebook URL: ________________________________

Twitter: _________________________

Instagram: _______________________

Other Accounts: ______________________________________________________Indicate the Media and the account URL.

Present Affiliations

University-based or community-based membership in any group or organization.

Organization Position Date of Membership

_________________________ _________________ __________________

_________________________ _________________ __________________

_________________________ _________________ __________________

I am a natural-born Filipino citizen. (For presidential and vice-presidential candidates)

I possess all the qualifications and none of the disqualifications for the officeI seek to be elected to.

I will support and defend the USC Constitution and will maintain the truefaith and allegiance thereto.

I assume voluntarily the obligation imposed by my oath, without mentalreservation or purpose of evasion.I hereby certify that facts stated herein are true and correct to the best of myknowledge.

_________________________________________

Signature of Candidate Above Printed Name
mailto:[email protected]:[email protected]:[email protected]

8/9/2019 Certificate of Candidacy + Certification USC-SSC Election 2015

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CERTIFICATION

This is to certify that ____________________________________, running as

_____________________, is a bona fide undergraduate/graduate student of the University

of San Carlos with an academic load of _______ units in the second semester of AY 2014-2015

and is not expected to graduate anytime until March 2016.

This certifies that the information stated above is accurate to the best of his/her knowledge.

_____________________________________

Signature of Dean/Chairperson Above Printed Name


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Please neatly cut out this part. DO NOT SUBMIT THIS PART OF THE FORM.For your guidance only.

Checklist for Submission: (Article 8 Sections 2 and 3 of the 2014 USC-SSC Election Code)

Duly filled-up certificate of Candidacy,

Certification signed by the CandidatesCollege Dean or Department Chairperson only,

Two (2x2) black and white or colored picture with white background,

Present ISMIS study load,

For incumbent officers in the Supreme Student Council, a letter of resignation signed

and approved by the SSC President or the highest ranking officer in the Council, and

Filing fee of One Hundred Pesos (P100.00) per candidate.

There will be a P50.00 penalty for every requirement submitted later than the deadline.
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

Certificate of Candidacy + Certification USC-SSC Election 2015

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