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Form AIE A I E E: Uthority TO Ncur Lection Xpenditures

This document authorizes an agent to incur election expenses on behalf of a candidate or political party for the May 9, 2016 national and local elections. It specifies the name of the agent, the maximum amount they are allowed to spend, and is signed by the candidate or party treasurer. Personal information is also provided for the candidate, party, and authorized agent.

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Johny Villanueva
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222 views2 pages

Form AIE A I E E: Uthority TO Ncur Lection Xpenditures

This document authorizes an agent to incur election expenses on behalf of a candidate or political party for the May 9, 2016 national and local elections. It specifies the name of the agent, the maximum amount they are allowed to spend, and is signed by the candidate or party treasurer. Personal information is also provided for the candidate, party, and authorized agent.

Uploaded by

Johny Villanueva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form AIE

COMMISSION ON ELECTIONS

AUTHORITY TO INCUR ELECTION EXPENDITURES


For the 09 May 2016 National and Local Elections

Date filed:

The undersigned candidate/party treasurer hereby grants the authority to incur election expenses to
his/her agent
(Surname)

(First Name)

(Middle Name)

Said person is authorized to incur expenses for/on behalf of the candidate or party for the upcoming
2016 NLE elections. He/she is only authorized to incur expenses with a maximum limit of
(Amount in words)

(Amount in figures)

AFFIX SIGNATURE HERE


Before printing, encode name here

[NAME OF CANDIDATE OR PARTY TREASURER]

Date signed:
PARTY INFORMATION: Accomplish this part only if you are the party treasurer
NAME of PARTY
TREASURER:
NAME OF
PARTY:
PARTY
TYPE:

(SURNAME)

(FIRST NAME)

(COMPLETE NAME OF PARTY)

Political Party
Party-List Group

Contact information:
(Phone no. & e-mail
address)

(MIDDLE NAME)
(ACRONYM)

N/A

CANDIDATE INFORMATION: Accomplish this part only if you are a candidate)


NAME OF
CANDIDATE:
Elective
office
sought:
Name of
party:

(SURNAME)

(FIRST NAME)

(MIDDLE NAME)

District,
Municipality/city/province
of elective office:
Contact information:
(Phone no. & e-mail
address)

AGENT INFORMATION: (Person authorized to incur expenditures, whose name appears in main body)
Home/Office
Address:
Telephone &
Mobile No.:

E-mail Address:

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES
)
City/Municipality of Tuguegarao )
Before me, on ___________ and in _________________, personally appeared
the following persons with competent evidence of their identity:
Name
Doc. Type
ID No.
Expiry
Issuing
Date
Authority
Said persons acknowledged under oath to me under penalty of law, that the whole
contents of this document are true and the same are their free and voluntary acts and
deeds.
WITNESS MY HAND AND NOTARIAL SEAL.
Doc. No.:
Page No.:
Book.:

NOTARY PUBLIC

Series of

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