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Sample Cona Annex D

This document contains a certificate of nomination and acceptance for Evelyn T. Uy as the PDP LABAN party's official candidate for the position of Mayor of Dapitan City, Zamboanga del Norte in the May 13, 2019 National and Local Elections. The certificate was issued and signed by Roberto Y. Uy as the Provincial Council President and authorized signatory of PDP LABAN on October 2018 in Dipolog City. Evelyn T. Uy also signed to accept the nomination on the same date.

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Caroline Socorre Lim Ruiz-Bacho
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141 views1 page

Sample Cona Annex D

This document contains a certificate of nomination and acceptance for Evelyn T. Uy as the PDP LABAN party's official candidate for the position of Mayor of Dapitan City, Zamboanga del Norte in the May 13, 2019 National and Local Elections. The certificate was issued and signed by Roberto Y. Uy as the Provincial Council President and authorized signatory of PDP LABAN on October 2018 in Dipolog City. Evelyn T. Uy also signed to accept the nomination on the same date.

Uploaded by

Caroline Socorre Lim Ruiz-Bacho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Annex “D”

Republic of the Philippines)


Dipolog City ) S.S

CERTIFICATE OF NOMINATION AND ACCEPTANCE

By virtue of the power and authority vested in me by the Constitution and By-
Laws of PDP LABAN , I, PROVINCIAL COUNCIL PRESIDENT
(Name of Political Party) (Position in the Political Party)
and duly authorized signatory for an in behalf of the party hereby nominate:

EVELYN T. UY
(NAME OF NOMINEE)

(ADDRESS OF NOMINEE)

as the party`s official candidate in May 13, 2019 National and Local Elections for the
position of MAYOR in
DAPITAN CITY, ZAMBOANGA DEL NORTE .
(PLACE WHERE THE CANDIDATE INTENDED TO BE ELECTED)

IN WITNESS WHEREOF, I hereunto affix my signature this day of October


2018, in _______________, Philippines.

ROBERTO Y. UY
(Name and Signature of Authorized Signatory, and Date)

SUBSCRIBED AND SWORN to before me this ___ day of October 2018, at


__________________, affiant exhibiting to me an Identification document/card which
contains a photograph and signature bearing No. 9770 issued by OSCA on
01-20-15.

(Officer Authorized to Administer Oath)


Doc. No. _______
Page No. _______
Book No. _______
Series 2018.

ACCEPTANCE/CONFORMITY OF THE CANDIDATE


I hereby voluntarily accept the foregoing nomination.

EVELYN T. UY
(Name and Signature of Candidate)

(Date of Acceptance)

NOTICE/DISCLAIMER: All authorized recipients of any personal data, personal information, privileged information and sensitive personal
information contained in this document, including other pertinent documents attached hereto that are shared by the Commission on Elections in
compliance with existing laws and rules, and in conformity with the Data Privacy Act of 2012 (R.A No. 10173) and its Implementing Rules and
Regulations, as well as the pertinent Circulars of the National Privacy Commission, are similarly bound to comply with said laws, rules, and
regulations, relating to data privacy, security, confidentiality, protection and accountability.

29 Aug 18

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