Republic of the Philippines
COMMISSION ON ELECTIONS
Manila

 

RESOLUTION No. 3463

IN THE MATTER OF THE FORM TO BE USED FOR THE FILING OF THE CERTIFICATES OF NOMINATION AND ACCEPTANCE OF A POLITICAL PARTY / SECTORAL PARTY / ORGANIZATION / COALITION IN THE MAY 14, 2001 ELECTION UNDER THE PARTY-LIST SYSTEM

This pertains to the submission of the proposed form to be used for the filing of the Certificate of Nomination and Certificate of Acceptance of a political party/sectoral party/organization /coalition, duly accredited by the Commission to participate in the May 14, 2001 Elections under the party-list system, which consists of one (1) page each and forms an integral part hereof.

The Commission, after due deliberation, RESOLVED, as it hereby RESOLVES, to approve the above-mentioned Certificate of Nomination and Certificate of Acceptance.

Let the Law Department implement this resolution and the Education and Information Department cause the dissemination thereof to all accredited political parties/sectoral parties/organizations or coalitions duly registered by the Commission, and all COMELEC field offices.

SO ORDERED.

(SGD.) HARRIET O. DEMETRIOU, Chairperson
(On Official Business) JULIO F. DESAMITO, Commissioner
(SGD.) TERESITA DY-LIACCO F LORES, Commissioner
(On Sick Leave) LUZVIMINDA G. TANCANGCO, Commissioner
(SGD.) RALPH C. LANTION, Commissioner
(SGD.) RUFINO S.B. JAVIER, Commissioner
(On Official Business) MEHOL K. SADAIN, Commissioner

Promulgated, 09 January 2001.

Republic of the Philippines

COMMISSION ON ELECTIONS

Manila

Instructions: Prepare this form in five (5) legible copies, attach them to the Certificate of Nomination and submit to the Law Department, Comelec, Intramuros, Manila not later than March 31, 2001.

NOMINEE NO. ___________________.

CERTIFICATE OF ACCEPTANCE

I, _______________________________________________, a bonafide member of _______________________________, hereby accept the nomination as its party list representative in connection with the May 14, 2001 elections, and after having sworn in accordance with law, depose and state the following:

  1. FULL NAME: _____________________________________________________

    2. (Surname/First Name/Maternal/Maiden Name)

  2. PARTY/SECTORAL ORGANIZATION/COALITION: ____________________

  3. DATE OF BIRTH: ______________ PLACE OF BIRTH: _________ SEX: ____

  4. CIVIL STATUS: ______ IF MARRIED, FULL NAME OF

    5. SPOUSE: ____________________

    (Maternal/Maiden Name)

  5. I AM A NATURAL BORN FILIPINO CITIZEN.

  6. PROFESSION OR OCCUPATION: _____________________________________________

  7. RESIDENCE (Complete/Exact Address): _________________________________________

    8. (House No./Street/Municipality/City/Province)

  8. NO. OF YEARS RESIDENCE IN THE PHILIPPINES IMMEDIATELY PRECEDING THE

MAY 14, 2001 ELECTIONS: __________________________________________________

  1. I AM A REGISTERED VOTER OF PRECINCT NO. __________, BARANGAY ________

    2. CITY/MUNICIPALITY OF ________________________,

    PROVINCE OF __________________________________

  2. I AM ELIGIBLE for the office for which I am nominated. I will support and defend the

Constitution of the Philippines, and will maintain true faith and allegiance thereto; that I will

obey the laws, legal orders and decrees promulgated by the duly constituted authorities of the

Republic of the Philippines; and that I impose this obligation upon myself voluntarily,

without mental reservation or purpose of evasion. I hereby certify that the facts stated herein

are true and correct of my own personal knowledge.

_____________________ 2001.

RIGHT HAND THUMBMARK ______________________________________

(Signature of Nominee)

SUBSCRIBED AND SWORN to before me this _____day of ________, 2001 at ___________, Affiant exhibiting his/her Community Tax Certificate No. _____________ issued on ________ at ______________________________, Philippines.

Doc. No. ________;

Page No. ________; ________________________________

Book No. ________; (Officer Authorized to Administer Oath)

Series of 2001.

(Affix documentary stamp)

 

 

Republic of the Philippines

COMMISION ON ELECTIONS

Manila

Instructions: Submit this form in five (5) legible copies to the Law Department, Commission on Elections, Intramuros, Manila not later than March 31, 2001 pursuant to Sec. 8, R.A. No. 7941, in relation to COMELEC Resolution No. 3322

CERTIFICATE OF NOMINATION

PURSUANT to the power and authority vested in me by the Constitution and By-Laws of ________________________, a political party/sectoral party/organization/coalition duly accredited by the Commission to participate in the May 14, 2001 elections under the party-list system, the following are hereby nominated in the order stated as Party-List Representatives:

NAME ADDRESS

1. __________________________ ___________________________________________

2. __________________________ ___________________________________________

3. __________________________ ___________________________________________

4. __________________________ ___________________________________________

5. __________________________ ___________________________________________

I hereby certify that the above nominees have all the qualifications and none of the disqualifications of party-list nominees; that they are not candidates for any elective office nor have anyone of them lost his/her bid for an elective office in the immediately preceding election.

IN WITNESS WHEREOF, I hereunto affix my signature this ____ day of ___________ 2001, in _______________________, Philippines.

_________________________________

President/Chairman/Corporate Secretary

SUBSCRIBED AND SWORN to before me this _______day of __________, 2001, at ____________, Affiant exhibited to me his/her Community Tax Certificate No. ____________ issued on ____________ at ____________________, Philippines.

_________________________________

(Officer Authorized to Administer Oath)

Doc. No. __________;

Page No. __________;

Book No. _________;

Series of 2001.

(Affix documentary stamp)

ACCEPTANCE

  1. ______________________________ 2. _______________________________________

  1. ______________________________ 4. _______________________________________

5. ______________________________


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