Pilar Juliana Cayetano

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Republic of the Philippines

COMMISSION ON ELECTIONS
Manila

INSTRUCTIONS: (Read well before filling up this form.)


1. File this in FIVE (5) LEGIBLE copies.
2. File this certificate of candidacy with the Law Department, COMELECMain Office, lntramuros, Manila, starting November 20, 2009 up to
midnight of November 30, 2009.
3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
certificate of nomination shall be accepted.
4. Titles such as 'Dr., Att:{., Don, Glnoo, Senor, Datu, Hadji, Sultan, Bai, Seflora, Kapitanor similar titles are expresslyprohibited.
5. This certificate shall be sworn before a notary public or any official authortaed to administer oath. COMElEC .offlcials are not authorized to
administer oath.

.:',~;hereby anneuncs my talididacy for the posltlon- 01"SENATOR. Republic of the Philipl)ines, in thE! May 10; 2010 elections;
';and after hailing been sworn to in accordance willi law, herliby~tate th~ folltiwing:
J' "
1. MY NAME IS : 4. MY AGE IS :

.43.
1.1 Last Name
.CAYETANO ".. ','- .. ,.

. 1.2 First Name


.PILARjJULIANA:: .. 03.-22 -196.6'
1.3 t·1iddleName •. SCHRAMM.:. . Month

6. MY PLACE OF BIRTH IS :
Day Year

2. I AM GENERALLY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME


'~dicate only one nic~nameor stagename) City/Mun Atlt4 AABOIlIII.Ctll()Att .1.1~
Province
~ .~.IPt~._.~I~.=~~
..~.~.__ ~ ~ ~ ~ ~ --+8. MYCIVllSTATUSIS:

7. I AM OFfICIALLY NOMINATED

NACIO.NALISTA PARTY
BY: (Alt3ch Certificate of Nomination)
o Single 0 Widow/er

P Ii' I Pa ~ Married D Legally Separated

NATIONALCAPITAL'REGJ.ON · o
9. MY RESIDENCE!
9.1 Province Annulled / Divorced
AODRESSIS:
9.2 City/Municipality Full Name of ouse if married
9.3 Barangay
••
TAGUIG CITY 'BAGUMBAYAN 10. MY PROFESSION OR
9.4 HouseNo.1Street I Subdivision OCCUPATION IS : .

: 201'PASO"STItEET'~ .LAWYER ANDINCUMSEITSENATOR.


11. MY POST OFFICE ADDRESS FOR·ELECTION PURPOSES IS: (Could be the same as No.9) 12. I AM A REGISTERED VOTER OF

O.145..A.
209 PASO. STREETBAGUMB Precinct

1.3. MY PERIOD Of RESIDENCE IN THE PHIUPPINES BEFORE MAY 10, 2010 IS :


Bgy .IAGU.MBAYAN
". City/Mun TAGUIG..
No. of Months :.43.' No.of Years
Province MeR.
14. I AM A NATURAL BORN FIUPINO CITIZEN. , fl tHUMBP;UNT' .'

15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN


COUNTRY.
16. I AM EUGIBLE FOR THE OFFICE I SEEK TO BE ELECTED TO.
17. I WILL SUPPORT AND DEFEND THE CONSTITUTION Of )"HE REPUBLIC OF THE
PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. I
WILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THE
DULY CONSTITUTED AUTHORITIES. I IMPOSE THIS OBLIGATION UPON MYSELf
VOLUNTARILY, WITHOlIT MENTAL RESERVATION OR PURPOSE OF EVASION.

Thumbprint

I hereby certify that the facts stated herein are true and correct of

OATH
SUBSCRIBED AND SWORN to before me this 'lf6 day of November, 2009, at QuE:G~\l'--,,~ff!iant exhibiting to me his/her
crqIdentificatipp Card No.
ft;lS'CpO •. t Na,
x.X 3031254 Issued by : OEA On: ~b. ('6,:w:n Q/.
p' (m~,
Doc. No. .2 ;f;. -v- . -.,:'\' -, . :, ~.
, r";
Page No. ---.:;tr~--
Book No. __ ..l- __ ~
(Officer Authorized to Administer Oath)
series of 200_. (Affix documentary stamp)

.~ ",f r:, .~;'


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