8/14/2019 Silvestre Bello III

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Republic o f the Philippines

CO MM IS SIO N ON E LECTIONSManila

C E RTIF IC ATE OF

INS TRUCTIONS ; (Read wellbefore f illing up th is form .)1. Filet his in FIVE(5) LEGIBL Ecopies .2. File this certifica te of candidacy with t he Law Depa rtrnerit .. COM EL EC Main Of fice, lntramu ros, Manil a, s tarting No vembe r 20, 2009 up to

midnight o f Novembe r 30, 2009.3. Attach to this c ertificate th e Certi ficate of Party Nomi nat ion unless you are an indep endent candid ate. After midnight of N ovember 30, 20 0 9 , no

certificate ofno mina tion shall be accepted.~ -4 . Titles SU d l a s 'D r., Atty., D on, Ginoo, Senor , Datu, Hadji , S ultan, Bel, Senor a , KapItan o r similar t it le s are expressly p ro hibit ed .

5. This certificate shall be SWOrn be fore a nota rv public or an v officia l autho ri.ed t o administe r. oath. CO MEL EC offic ials are n ot autbo rlz ed toad minist er oa th.

SE N

BEBOT~--------~--~----------------- -------------------~------------~----i8.MYCIVIL5TATUSIS:

' 0 0ingleII] Man ied 0o Annulled I Divon:ed

Full Nam e of Spo use, if ma rried

REGI NA GERON A BELLO

1. MY NAME IS :

1.1 Last Nam e BELLO

3. MY GENDER IS :

~ Male DFem ale

4. MYA GE IS :

65

1 .2 First Nam e SILV ES TRE I I I

HERNANDO

5 . MY DATE OF BIRTH IS :

06 - 2 3 -194 .4. ' .

Month Day Ye ar1.3 MiddleN ame

2 , lAM GE NE RAL LY O R PO PUL ARLY KN OWN BY T HE N IC K N AM E OR STAGENAME

'ndca te onlyone n ick name orst lgename)

7. I AM OFFICIALLY Noro1INATED BY : (Attach C ertificate of Nomina tion)

LAKAS- KAMPI C MD

6. MY PLACe OF BrRTH IS :Citv/Mun GATl 'ARA NProvince CAGA YAN

Widow /er

LegallySeparated

9.4 House N o.1 Street I Subdivis iong006 Ho n. Benito Soliven . Ave.

10. MY PROFESSION OR

. Gra nd ,Vl .1 1 OCCUPATION IS:III Lo yo l a . S LAWYER

Doc. No. _ ~6,..G = -_ _Pag e No. -..t. ;{(:o-- - - -Book No. _ - -;1 :.- _Ser ies of 200_1

12. I AM A REGISTERED VOTER OF

Precinct 83 A

BALIGATANILAGANISA BELA

(O fficer Authorized to A dm inister Oath) ,... .c-_ -r1- r--~~\.-v I .

AT TY . MA R IA N KRISTIN E V . A M BAT A L INO T AR Y P UBL IC

UNTil DECEMBER 31, 2009P T R NO . 089 780 5 0 113 1/0 9 I IS AB E L .'

IRP NO 71\111\? n1/nl