MC 071 (COMELEC Resolution No_ 10003) Dec_ 2,2015

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    ABSC-MC- 2L15-

    Rcpul^Hkii ng IMlipiiuis

    K A G A W A R A N

    NC :

    K A I A K U N G A N

    Dcpiirlnwnl

    of

    Jus

    liec

    M a n i l a

    MEMORANDUM CIRCULAR NO.

    TO DOJ Library

    C c

    SUBJECT

    DATE

    U n d e r s e c r e t a r i e s

    a n d

    A s s i s t a n t

    S e c r e t a r i e s

    T h e

    P r o s e c u t o r G e n e r a l

    T h e

    C h i e f

    S t a t e

    C o u n s e l

    Heads of Bureaus,

    Commissions

    and

    Offices a t t a c h e d t o t h e

    DOJ

    All

    C o n c e r n e d

    COMELEC R e s o l u t i o n No. 1 0 0 0 3

    December

    2,

    2015

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    Republic of the Philippines

    C O M M IS S I O N O N

    E L E C T I O N S

    M a n i l a

    C O M M I T T E E

    O N

    L O C A L A B S E N T E E V O T I N G

    H O N .

    A L F R E D O

    B E N J A M I N C A G U I O A

    Secretary

    DEPARTMENT

    OF JUSTICE

    (DOJ)

    2/F DOJ

    Main

    Building

    P.

    Faura Street, Ermita, Manila

    Dear SecretaiyCaguioa,

    November

    4, 2015

    Of THE

    1

    I®V

    2QJ5

    6 J i \

    JUSTICE

    The Commission on Elections is now preparing for Local AbsenteeVoting for

    the

    May 9,

    2016 National a n d Local Elect ions.

    Attached herewith are copies of Comelec Resolution No.

    10003

    promulgated on October

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    V

    .tCa

    9

    ey

    orM

    COlMMISSIOl^/ ON

    El.li;CTIONS

    ECAD-OmCM OF

    THE

    OinECTOR

    l>atc :

    Tinie ; ^lO plft

    Receivtil by:

    Republic

    of

    Llie

    Philippines

    C O M M I S S I O N

    O N

    E L E C T I O N S

    M a n i l a

    RULES AND REGULATIONS

    ON

    RATJI ISTA,

    J .

    Andres

    D.

    LOCAL ABSENTEE VOTING

    IN

    LIM,

    Chrisl ian RoberL S.

    CONNECTION WTITI THE MAY PARRENO,AlA.

    9, 2036 NATIONAL AND

    LOCAL GUIA, LnieTUo

    E.

    Ciiairniaii

    C o m i n i s s i o i i e r

    Conuiiissionei-

    Conuii iss ioner

    C o D i n i l s s i o n e r

    E L E C n O N S .

    LIM, Arlluir D.

    GUANZON, Ma.

    Roireiia

    Amelia 'V.

    Commissioner

    ABAS, Sheriff

    M.

    Commiss ioner

    J

    PROMULGATED: Ootobai- I l, 2015

    V

    R E SO L U T I O N N O . *0003

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    A

    SEC- 2. M'lio are enlitled to avail of local absentee voting. - Local

    absentee A'oling

    11133^

    be availed ol'by llie

    following:

    a) government officials and employees;

    b) mejnbers of tiie PNP;

    c) members of Lbe AFl^; and •

    d) members of

    Lbe

    media,

    media

    practilioners inchiding their leclinieal and

    support staff who are actively engaged in the pursuit of informalion

    gathering and reporting or distribution, in any manner or

    form,

    including,

    but not limited to the following:

    w

    1. Pi intJournalists;

    2. Television JoiirnEilists;

    3. Pliolo Journalists;

    4.

    Online Journalists;

    5. Radio

    Journalists;

    6. Documentary

    makers;

    7.

    Television/Radio

    Production;

    provided that a) they are duly registered voters and whose registration records are not

    deactivated, and hj 011 election day,

    in

    case

    of

    government officials,

    iiienihers

    of

    the ENP

    ami

    AIT^,

    they are assigned temporarily to perform election duties in

    places

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    V

    Highly Urbanized

    Cities

    i n

    N C R

      n i th

    RED-NCR)

    ]. CaloocanCity

    2. Las Pihas City

    3. MakaliCity

    4. MalabonCily

    c) OtTices

    of

    Llie Provincial

    lilcclion

    Snjiervisor

    (OPES) (b r

    areas nol

    i i ienLioned above.

    The application form for media

    voters must be acconipanied by a

    certification accomplished by Ihe

    l ieads

    o f

    m e d i a ent i t ies

    to v\ h(;ni

    the

    applicants belong

    attesting tiiat they

    are bona fide

    members

    of the media

    and that

    they

    may not

    he able to vote

    due

    to

    the performance of

    their

    functions in cover ing and reporting

    tlie condiicL

    of

    elections.

    (LAV Fovn i

    No.

    02)

    Tliglil}^ Urbanized Cities

    o u t s i d e

    N C R

    (wi th City EG)

    1. Angeles City

    2. Bacolod City

    3. Bagnio Cit}^

    4. BiitiianCity

    Independent Cities

    (with City EG)

    1.

    Cotabato Cil}'

    2. Naga City

    3. Ormoc City

    4.

    Santiago

    City

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    vvlio or Avliose represeiiLaLive will supen'ise ibe condiicL of voling fliereat. Copy of

    said

    written notice

    shall

    be fiu n is hed th e CLAV.

    in case of media voters, votingshall

    l)e

    at the

    COMEI.EC

    Office

    where they

    filed

    their applications to

    avail of

    the

    local

    absentee

    voting

    under

    the supervision of

    the

    City

    Election

    Officer

    (CEO),

    Provincial

    Election Siipendsor (PES) or Regional Election

    Director (RED) as the case ina30)e.

    SEC. 5. Pt)sitions to

    be voted tbr.

    - For the May 9, 2016 National and Local

    Elections, only

    the

    positions

    of

    President, Vice-President, Senators and

    Party-List

    Representative shallbe A^oted for under the local absentee voting.

    V

    SEC.

    6.

    Committee on

    Local

    Absentee

    Voting. - 'i'here shall be created a

    Commiltee on

    Local

    Absentee Voting ( ClAV ) composed of the following;

    Chairperson

    Vice-Chairperson

    Members

    H o n .

    M a r i a

    R o w e n a A m e l i a

    V .

    G n a n z o n

    Commissioner , Commission on

    Elections

    Ally. Allen Francis IL Abaya

    Electoral Contests Adjudication l^e[)arlment (ECAD)

    Ally. Consiielo B. Diola

    Electoral Contests Adjudication Department (liCAD)

    Ms.

    Carinelita

    C. Aj son

    Education and

    Information Department

    (EID)

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    ^ The EID shall

    cause the

    Avidest

    disseniinalion

    of e du ca tio n a nd

    informalion

    materials relative to the conduct of the local absentee voting S3'steni to all government

    officials, the A.FP and PNP as well as to the media.

    The ITD shall provide the CLAV with

    th e

    updated Nal ional his t of Registered

    Voters (NLRV) and other technical assistance in the verification of registered voters.

    SliC. 7. Powers a n d

    Functions

    o f the CI^V. - 'I'he CLAV,

    through

    the hAV

    Groups, shall supervise the liiiplementation of the local ahsentee voting, and shall have

    the following powers

    and

    functions;

    a.

    Distribute copies of Application Forms (LAV

    Fonn

    No. 01) to all

    government agencies, AFP, PNP, media entities^ corporations or

    inemhei s of

    ihe

    media

    concerned;

    V

    I).

    Receive accomplished Application Imrins

    (L/iV

    Form

    No.

    01)

    together with Certified Lists of Applicants (LAV Form No.

    02)

    for

    local ahsentee voting not later than

    March

    10 ,

    2016;

    c. Verify

    whether the applicants

    are eligible for local absentee voting not

    later than

    April

    15, 20i6;

    d. Prepare

    the

    last of Approved Applicants for Local Ahsentee Voling

    with Minutes of Voling (TAV Fo7*i/i

    No.

    04) [ler

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    ii. Verily wlietlier llie

    number

    of envelopes containing the accoinplisiied

    ballots is equal to the number of signatures affixed in the list subiniltecl

    by the heads of offices/super\nsors/conimanders or officers next-iii-

    rank /the CEO/PES concerned or the RED-NCR, as the case may be.

    If there are more envelopes containing the accomplished ballot than

    the signatures affixed on the list, set aside

    the

    eiwelope of tlie votei'

    VN

    whose signature does not appear in the list

    and

    place the same in a

    separate ballot box intended for the purpose. Such fact shall be

    indicated in a report to be prepared by the LAV Group concerned

    wiiich

    sliall

    be subm itte d to the CLA\C Said

    ballots

    sliall not

    be

    counted;

    If there are more signatures affixed in the list than the number of

    envelopes received, such fact shall likewise be indicated in the report to

    be prepared by the I.AV Group wliich shall be submitted to the CLAV.

    The report shall indicate the names of tlie voters whose signatures

    appear in the list , but without corresponding envelopes, lii this case,

    the

    CIAV,

    through the Head of the LAV Group concerned, shall direct

    the heads of offices/supervisors/commanders or officers uext-in-rank,

    the CEO/PES concerned or the

    RED-NCR,

    as the case may he, to

    transmit the envelopes of said voters;

    After receipt and verification thereof, turn-over tlie same including

    other

    elecLion

    documents

    to

    th e RCU;

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    w

    emploj^ees/niembei s of AFP/PNP, piirsnaiiL to Execiil.ive Orclei- No.

    292 CAdiiiinislialive

    Code

    of-igSy).

    For media, llieir applicadon forms shall be swoi n to before:

    i) an}' notaiy public; or

    ii) the Regional Election Director-NCR for higlil}' nibmiized cities

    of NCR including Pateros; or

    Mi) the Cit)' Election Officer concerned foi- liiglily urbanized cities

    outside

    NCR; or

    iv) the Provincial Election Supervisoi' for areas

    other

    than those

    mentioned above.

    The application forms may be reproduced or downloaded from the

    official COMEl.EC \vebsile

    at

    \m\v.comelec.gQv.ph.

    b. The heads of

    offices/supervisors/commanders

    oi' officers next-in-

    rank, shall receive all accomplished and subscribed application foi nis

    from

    their

    respective

    personnel.

    In case of media voters, the CEO or PES

    concerned,

    or the RED-NCR,

    shall receive all accomplished and subscribed ai)plication forms

    together with Certified List of Applicants

    (lAV

    Form

    No. 02)

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    The

    foi-egoing clocuinenls shall be LransniilLed dirccl ly

    lo

    Lhe CliAV,

    c/o 11ie ILlccloral Conlests Adjiulicalion

    T>epartment

    (KCAD),

    8^^' I loor,

    Palacio

    Del

    Gobernador

    Building, Inlramiiros,

    Manila,

    iniiviediatel}/

    upon

    receipt

    thereof but

    not

    later

    tlinn

    Blareh

    lo ,

    20J.6. The date of mailing shall be considered as Lhe date of filing.

    Any queries on

    the

    foregoing maj'^

    be

    made

    at teleplu>ne

    numbers: 527-2986, 529-2212 and 536-0419 o r i b ru fax

    no.

    527-0830 and email

    address

    at [email protected])h.

    SbC.

    9.

    Veriiicaliou

    of

    registrations

    of

    applicants

    bir

    local

    absentee

    voting. - Upon receipt of the CertifiedListofApplicants (LAV Form

    ATo,

    02) and Lhe

    accomplished Application Forms   t ^ V Form

    No. 01),

    the CLAV shall verify from the

    National List of Registered Voters (NLRV) provided by the Tnformation and Technology

    Departmeiil (ITD), COMELEC \vheLher the applicants are regisleied voters, and

    generate a Report thereon

    (LAVForm

    No, 03).

    Only the applications of individuals \vhosc names

    aie

    in the NLf^V shall be

    aptn'oved by the CLAV.

    The CLAV shall prepare a f.ist of Approved Applicants for l.ocal Absentee Voting

    with Minutes of Voting (LAV Form

    No.

    04).

    Once approved, applicants should ensure that they

    \vill

    vote on any day

    li'om

    April 27, 28 and 29, 2016 as lliey are already included in the certified list of local

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    SEC. 11. Transiiiillal

    of

    list

    of qualified

    local absentee vri lers , local

    a lj se ii tee ba ll o ts and

    o t h e r

    elect ion

    ijaraxibernalia

    f rom

    llie CliAV. -  Die

    CLAV,

    tliroiigh

    it s members,

    shall

    personal]} transmit to

    the

    heads of

    offices/sLipen isois/commanders,

    CEO, PES or RED-NCR,

    the

    List

    of

    Approved

    Applicants for Local Absentee Voting

    vvilli

    Minutes of Voting

    (LAV Form No.

    04), the

    exact number of local absentee ballots, inner and

    outer

    envelopes and paper seals

    corresponding to

    the

    number of approved applications and lliumbprint tabers

    (LAV

    Form No.

    06) not later than

    Thursday,

    April 21, 2016 to ensure

    that

    the above-

    mentioned election forms and paraphernalia will be received by the heads of

    offices/snt^ei-visors/coininanders, CEO, PES or RED-NCR before tbevoling period.

    SEC.

    12.

    Securily

    envelopes for

    local

    absentee

    ballots.

    -- Ihere shall be

    l;vvo (2) securily

    envelopes

    for each local absentee ballot, namely; an outer

    envelope

    and

    an

    inner

    envelope.

    The inner envelope shall contain

    the

    accomplislied official ballot and shall

    not

    bear an}' other mark except an indication that it is a special envelope for a local absentee

    ballot.

    The outer envelope shall bear a serial number and a space for the name t)f the

    voter. The detached coupon and llie inner envelope shall be placed inside the outer

    envelope.

    SEC. i.q.

    Distribution

    of local

    absentee

    ballo ts , envelopes

    and

    paper

    seals. - On any day from Ain-il 27, 28,

    and

    29,

    2016

    from 8:00 o clock

    in

    the

    morning until

    5:00

    o clock in the afternoon, the

    heads

    of

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    c. Detacli Ihe

    coupon

    from ihe ballot and place the same inside th e

    outer

    envelope;

    d. Place

    the

    accomplished ballot inside

    the inner

    enveloi)e

    and

    close and

    seal llie envelope with a

    paper

    seal;

    e. Place the sealed inner envelope inside the outei* envelope, which shall

    likewise be sealed with a

    paper

    seal;

    f. Write their names on the space provided for in the outer envelope; and

    g. Submit the sealed envelope to the heads of

    offices/supervisors/coinnianders oi* officejs next-in-rank,

    Miuiicipal/Cit3'/0istricl' EOs, the

    PES

    concerned or RED-NCil, as the

    case may be.

    I'be heads of offices/supervisors/commanders or officers next-in-rank,

    Municipal/Cit3'/District EOs, the PES concerned or RED-NCR, shall ensure that the

    'Sahhtity

    of the voting process is preserved.

    SEC. J5. Transniillal of

    local

    absentee ballots and

    other

    election

    dociiinents

    lo

    the

    CLAV. After the voting, the heads of

    offices/supervisors/commanders or ofh'cers next-in-i'ank, the CEO or PES concerned or

    the

    RED-NCR, as the case may be, shall:

    1. Gather all the sealed envelopes containing

    the

    ballots submitted to

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    VS

    c. Place the verified envelopes containing the accoinplished ballots inside Ihe

    ballotboxesat the rate of fourhundred (^|00) envelopes

    pej-

    ballot liox;

    The ballot boxes, prior to the distribution to the SBPIs, shall be sto?ed

    In

    a

    safe and secured place; and

    d. Deliver the ballot box

    iinmediatel}'

    at 7:00

    o'clock

    in ihe

    evening

    of

    Ma}'

    9,

    2016 to ihe Special Boardsof ElectionInspectors (SBEts) for counting;

    Should there be a ballot box containing less than loin- Inindied b|0o)

    envelopes, the RCU shall equitably distribute said envelopes to the SBEFs.

    SEC. 17. Special Boards of Eleclion Inspectors

    (SBEIs).

    - 'j1ie CbAV

    may constitute as many SBEIs for local absentee voting as may be deemed necessaiy, to

    count the local absentee ballots. The meinbei-s thereof shall be cliosen from among Ihe

    personnel of the Electoral Contests Adjudication Department (ECAJO). In case of

    Inclc

    of

    ECAD personnel, the CLAV shall consliliite additional SBEIs from among the personnel

    of other departments/offices in the Main Office, Manila, not later than April 21, 20(6

    (lAVFormNo.

    09).

    To determine the

    number of

    SBEIs to be

    constituted, the CIAV

    shall use as basis

    the total number of approved applications at a ratio of four Inmdred (qoo) ballots per

    SBEI. The order of nnmhering of SBEl shall be determined tbrongli a raffle. In case the

    CbAV constituted more SBEIs tlian what is retpiired, tlie SBEIs last in the oixler of

    biimbering maybe deactivated.

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    V

    I). Open all die oiiler envelopes, I'elrieve die inner envelopes and die

    delaclied

    coupons;

    c. Place die coupons in die ballot box coinpartinent for spoiled liallols;

    d. Bundle llie einpLied outer envelopes and deposit the same inside

    die ballot box coniparLinent for valid liallots;

    e. Open tJie inner envelopes and retrieve the bailols found tiiei'ein;

    f.

    Bundle tlie emptied inner envelopes and deposit the

    same

    inside the

    ballot box

    compartment

    for valid ballots;

    g. Pile die ballots in bundles of one

    liundred

    (JOO) eacli;

    li. The Cliairperson of the SBEI shall lake the ballots of the first pile

    one b3^ one

    and read

    the names of the

    candidates voted for

    and the

    offices for which they were voted, as well as

    the name

    of the party,

    organization or coali tion voted for uiider the pait3'-]ist s3/steni, in

    the order in whicli die3'^ appear tliereon.

    During

    the

    coiinLing:

    i. The Chairperson, the Poll Clerk and the Third Member shall

    position themselves in such a

    wa3'

    as to give the Avatchers and die

    V

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    p. Close

    Liie

    enli ies alTixing their initials iiniiiediatcly after the last

    vote recoided or immediate))^

    after

    the nanie of the candidate

    and

    party-list:candidates who did no receive any vote;

    V tj-

    file

    Poll Clerk and the Tiiird Member

    shall

    record in the election

    returns and in the tally board, respectively, the total number of

    votes obtained by each candidate and party-list candidale, in words

    and figures;

    r. Accomplish the certification portion of the election returns and tally

    board;

    s. Require the

    Avatchers,

    if aii)', to affix their signatures and imprint

    tlieir tlmml) marks on the right hand portion of tlie election returns

    and Ihe tally board;

    t. Det)osit tlie tall}' board in the ballot box compartment for \'alid

    ballots. Ti\e tally boai'd, as accomplished and certified by the SBEl,

    shall not be changed or destroyed.

    \ The proceedings of the SBET shall be recorded in the Minutes of Coiinling of

    Votes

    (LAVForm No. i i )

    to be accomplished in two (2) copies which siiall bo placed

    in separate sealed envelopes to be distributed as follows:

    a. The first copy, to

    the

    Election Records and Statistics Depai tmeiit

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    V .VN

    The cop3^

    of Lhe

    elecUon

    relnrns

    posted on llie widl shall be open for public

    viewing aL any

    time

    of

    llie clay for fort3^-eiglit

    C- |8) lionrs following its

    posting. Within

    the

    said period oftime, any person

    may

    \'iewor

    caplnre an image

    of the election returns.

    After

    theprescribed period

    for

    posting, theChairpersons of the

    SBEl

    shall collect

    the posted election returns and keep

    the

    same in their ciistod3' to be produced

    for

    image

    01

    data capturing as 11103 recpiested 1 3 0113 voter or for aii} iawftii purpose as 11133

    ordered by competenl autliorit3'.

    SEC. 23. Post counting procedures. Upon

    terininalioii

    of

    the

    couiiling

    of

    votes,

    th e

    members of

    th e

    SBlil shall:

    V

    a-

    Place the

    counted

    official ballots in

    Lhe

    envelope for counted

    ballots;

    b. Seal the envelope

    witli

    paper seal

    and affix

    their signatures on

    the

    said

    paper

    seal;

    c. Deposit the envelope properly sealed inside the ballot box

    compartment

    for valid ballols;

    d. Place lhe eighth copy of the election returns inside the ballot box

    compartment for valid ballots;

    e. Close the inner compaitments of the ballot box, lock wilh one (i)

    Comelec

    padlock and seal the same

    with one

    (i) fixed

    length

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    1he tabiilalors shall aKix Lheir signalnres above Llieir prinled names and

    Jheir thumb maiks on Llie cerLificalion portion

    ofLiie

    Statenienl of Votes.

     

    - ' SliC.

    27.

    Convening ofSBOC. -

    The

    SBOC

    shall convene

    at 7:00 o'clock in

    ihe evening of May 9, 2016 in a place designated by the Chairman of tlie Cl.AV and

    proceed with

    the

    canvass of the

    elections

    returns submitted to it

    by

    (be

    SBEIs.

    Ushall

    not adjourn

    niiLil Lbe'canvass

    is completed.

    sue. 28. Certificate of Canvass of Voles (COCV). - I'lie SBOC shall

    pi

    epai e

    the Certificate

    of

    Cain''ass

    of

    Votes (COCV)

    in

    seven

    (7)

    copies fcir

    disLi'ibul ion as

    follows:

    1. 1be first copywith attached cop3' of the Statement of

    Votes

    by Precinct

    (SOVP)/Siiminary StatementofVotes

    (SSOV),

    to the

    Congress

    directed

    to the President of the Senate for vise in the canvass of election results

    for President and Vice-PresideiU;

    2.

    'Pile

    second cop)', with altaclied copy of the SOVP/SSOV to the

    ^

    Commission

    en banc sitting as the National

    Board

    of Canvasses for

    use

    in the canvass of election results

    for

    Senators and

    Parly-lisI:

    representatives;

    3. The third cop3', to be posted on a

    wall within

    the premises of the

    canvassing center;

    4. Tlie fourth

    copy,

    with attached copy of liie SOVP/SSOV \o tlie

  • 8/18/2019 MC 071 (COMELEC Resolution No_ 10003) Dec_ 2,2015

    19/23

    >1 ,

    » '

    HESO

    1 0 0 0 3

    lileclions are, astarasapplicable, lierebj^ adopted, incorporated and made

    integi'al

    parts

    o f Uiis

    resolution.

    SILC.

    31. Repealing Clause. -

    Conietec Resolution

    No.

    9637,

    entitled,

    Rules

    and Regidalkms on

    Local

    Absentee Voting in Connection luith the May ig, 20ig

    Synchronized

    National,

    Local and ARMM

    Regional

    Elections, and Subsequent

    National and Local Elections Thereafter dated Februaiy 33, 2013

    and all

    other Rules

    and

    Regiiiations inconsistent

    with the

    provisions

    liereof

    are

    hereb3^ superseded.

    -w

    Effectivilj'. -

    This

    Resolution shall

    take

    effect on [heseventh

    (7 ')

    day

    ^alter

    its publication in two (2)

    daily

    newspapers of general circulation

    in

    the Philippines.

    SRC.

    33.

    Riiblication

    and DisseiiiinaLion. - I.et

    the

    Ediicaiioji

    and

    Inloi'ination Oepai'tnient (RID), this

    Coinniission,

    cause the publication of

    tliis

    Resolution in two (2) daily

    newspapers

    ofgeneral circulation in the Philippines.

    The

    CLAV shall itninedialely

    furnish copies

    hereof to

    the

    Department of

    Foreign

    Affairs, Department

    of

    Education, the Cliief of Staff

    of

    tlie Ai'ined Forces of the

    Philippines, the Director

    General of

    the Philippine

    Wational Police and all departments

    and agencies or instrumentalities of the national government. National Press

    Club

    (NPC), Kapisanan ng mga BrodkasLer

    ng

    Pilipinas

    (KBP)

    and otiier

    media

    organizations

    or entities and all Regional Election Directors, Provincial Election Supervisors of the

    Commission,

    who

    shall in turn furnish copies thereof to their respective

    Election

    Officers.

    V

  • 8/18/2019 MC 071 (COMELEC Resolution No_ 10003) Dec_ 2,2015

    20/23

    l.AV

    Porni

    Uo. OJ

    ' i' A

    w

    I

    Republic of ihe Philippines

    COMMISSION ON ELKCT IONS

    ConinuLlee on Local

    Absenlee

    Voting

    MAY 9, 2 0 1 6 NATIOIMAL AND LOCAL

    ELECTIONS

    APPIJCATIOM TO

    AVAIL

    OF I.OCAI. ABSEMTRE VOTING

    1.PERSONAL DATA:

    (Please use the same name as appearing Inyour regisLralion record.)

    (a) Name:

    (•Surname] (First name)

    (b) Sex:

    QmuIc Qpeinale

    (c)

    Civil

    Slatus;

    [U Single |__]

    Married

    d] Widow/er

    (Middle name)

    (d)

    Date

    of nirlh:

    Place

    o f

    Blrll i :

    (e) ContacL Numbers: Mobile:

    IIQ/Office Tel. No.:

    Emai l

    a d d r e s s ;

    2. I AM AREGISTERED VOTER OE:[Note: Please go to

    dliiinSlnljisPcrtiir/ino

    hnd .ljujje).

    for infonnallon on the following data.)

    (0-

    iA V

    Foi*m No. 02

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    OFFICS/UNIT/STATION:

    Repubiierofthe Philippines

    COMMISSION

    ON

    ELECTIONS ^

    Committee

    onLccai Absentee Voting

    May 9,

    2016 NATIONAL

    AND

    LOCAL ELECTIONS

    LIST

    OF APPLICANTS

    FOR LOCAL ABSENTEE VOTING

    ADDRESS:

    SEQ.

    -

    NO

    LAST NAME

    FIRST NAME

    MIDDLE NAME

    DATE OF

    BIRTH

    PRECINCT

    #

    PLACE OFREGISTRATION

    BARANGAY

    MUNICIPALITY/

    CITY/DISTRICT

    PROVINCE

    PLACE

    OF

    ASSIGNMENT

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    LAST NAME

    FIRST NAME

    MIDDLE NAME

    DATE OF

    BIRTH

    PRECINCT

    PLACE OF REGISTRATION

    BARANGAY

    MUNICIPALITY/

    CITY/DISTRICT

    PROVINCE

    PLACE OF

    a s s i g n m e n t

  • 8/18/2019 MC 071 (COMELEC Resolution No_ 10003) Dec_ 2,2015

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    SKO=

    no'

    LAST NAME

    f i r s t n a m e

    MIDDLE NAME

    DATE

    OF

    birth

    PRECINCT

    CERTIFICATION

    This  S

    to

    certify that

    herein applicants are

    bona fide

    members/employees

    or

    SUBSCRIBED

    AND

    SWORN

    to

    before me this

    aa y of

    2016, at ,

    'plaice of

    REGISTRATIQI^

    municipality/

    CITY/DJSTRICT

    BARANGAY

    p r o v i n c e

    PLA

    ASSIG

    with

    office

    address

    at

    r c:

    ignature above printed

    name]

    VPhiliDpines.

    (Signatureabove printed name j

    Officer Authorized to Administer Oath