13/07/2021
Repunlic of the Philippines
NORTHERN ILOILO POLYTECHNIC STATE COLLEGE
BAROTAC VIEJO CAMPUS
Barotac Viejo, Iloilo
CERTIFICATE OF CANDIDACY (COC)
I hereby announce my candidacy for the position of __________________________ of the _________________________. On the July 23,2019 school wide election; and
Name of the Organization
after having been sworn in accordance with the law hereby state the following:
1.Full Name: _________________________________________________________
2. One nickname or stage name (by which) I am generally or popularity known) _____________________.
3.Date of birth: _______________________ Place of birth: ___________________
4.Civil Status: __________________ if married, full name of spouse: _____________
5.Residence (Complete/Exact Address): ____________________________________
6.General point Average (G.P.A.) of last semester attended: ____________________
7.In case of proper substitution, my substitutes are as follows:
1. ___________________________ 2. ______________________________
8. I am a Filipino citizen, I am not a permanent resident of, or immigrant to, a foreign country. I am eligible for the office I seek to be elected. I will support and defend the constitution and By-Laws of the organization and Philippines and will obey the laws, legal orders and decrease promulgated by the duly constituted authorities of NIPSC-BVC/Republic of the Philippines, and that I impose this obligation upon myself voluntary, without mental reservation or purpose of evasion. I hereby certify that the facts stated herein are true and contract of my own personal knowledge.
______________________________
Date of filling
__________________________________________
Signature over printed name of the candidate Right thumb mark
__________________________
Date Received
Validated by:
LOUIE STELLE CAJAYON MA. THERESA GEED T. ABAGATNAN,MILE
Chairman, COMELEC Asso. Dor., SAS
