Appointment of Watcher

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APPOINTMENT OF WATCHER

October 30, 2023 Barangay and SK Elections 1” x 1”


Photo of
Watcher

Signature of Watcher

I, ___________________________ (Name of Candidate), of legal age, Filipino,


and resident of _______________________, Barangay _________________,
Lingayen, Pangasinan, after having been duly sworn to in accordance with law, state as
follows:

1. On ________________________, I have filed my Certificate of Candidacy for the


position of _____________________, of Barangay ____________________,
Lingayen, Pangasinan.

2. I hereby appoint ____________________________ (Name of Watcher), whose


photo and signature appears above, as my WATCHER;

3.As such he/she is assigned to (Check whichever is applicable)

Cluster/Group No. ______


Barangay Canvassing Center

4. The above-named watcher possesses all qualifications and none of the


disqualifications as watchers.

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


__________ 2023, in Lingayen, Pangasinan.

Name and Signature of Candidate

SUBSCRIBED AND SWORN to before me this ____ day of __________ 2023 at


_______________, affiant exhibiting to me an Identification document/card which
contains a photograph and signature bearing No. ________________ issued by
___________.

Officer Authorized to Administer Oath

Doc No. ______


Page No. ______
Book No. ______
Series 2023

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