Certificate of Candidacy For Supreme Student Government

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Republic of the Philippines

DEPARTMENT OF EDUCATION
Division of Leyte
SAN GUILLERMO NATIONAL HIGH SCHOOL
Palompon, Leyte

CERTIFICATE OF CANDIDACY FOR SUPREME STUDENT GOVERNMENT


An officer of the Supreme Student Government lives the ideals, principles, and practices of participatory
democracy. He/She represents the student body, and must fully committed to lead and serve the student body
towards the fulfilment of the goals of the Student Government. He/She must uphold the core values and thrusts
of the Department of Education and goals of the Student Government. He/She must uphold the core values and
thrusts of the Department of Education and serve as a role model of school and community in words and in deeds.

Student’s Name ______________________________________ Current Grade Level: __________________________

PERSONAL DETAILS:
Gender: ___________ Age:____________ Date of Birth: ____________________________
E-mail Address: _______________________ Mobile No. ____________________ Landline: _____________________
Home Address: _____________________________________________________________________________________

COMPETENCIES OF CANDIDATES IN RELATION TO THE DESIRED POSITION

Name of Activities Participated Related to the Desired Specific Role in the Activity
Position

ELECTORAL INFORMATION:
Party Name: ______________________________________ Position in the Party: _______________________________

I certify that I am a bona fide student of this school. I whose name and other personal detail are herein
stated, do hereby file this Certificated of Candidacy for the Supreme Student Government COMELEC in the
election for the school year 2017-2018.

I do hereby declare my intention and desire to be nominated for the particular position of _____________.

I further state that state that I am bona fide student of this school with good moral character and academic
standing, and, I will abide with the election rules and guidelines of the Supreme Student Government.

I hereby certify that the facts stated herein are true and correct to the best of my knowledge.

_____________________________________________________
Signature of Candidate over Printed Name

SUBSCRIBED AND SWORN to before me this _______ day of ___________ 2018 at


___________________________, affiant exhibiting to me his/her nomination kit which contains his/her C.O.C,
parental consent, academic records, photograph (optional)

________________________________
SSG COMELEC REPRESENTATIVE
Republic of the Philippines
DEPARTMENT OF EDUCATION
Division of Leyte
SAN GUILLERMO NATIONAL HIGH SCHOOL
Palompon, Leyte
________________________________________________________

PARENTAL CONSENT

I as parent/guardian will support my son/daughter,


(Name of Parent/Guardian)
to the best of my ability as he/she commits to the Student Council.
(Name of Student)

I am allowing him/her to fulfill the duties and responsibilities of a Supreme Student Government Officer
and to be involved in all of its activities, programs, and projects.

_____________________________________________
______________________________
Parent’s/Guardian’s Signature over Printed Name Date

Republic of the Philippines


DEPARTMENT OF EDUCATION
Division of Leyte
SAN GUILLERMO NATIONAL HIGH SCHOOL
Palompon, Leyte
________________________________________________________

PARENTAL CONSENT

I as parent/guardian will support my son/daughter,


(Name of Parent/Guardian)
to the best of my ability as he/she commits to the Student Council.
(Name of Student)

I am allowing him/her to fulfill the duties and responsibilities of a Supreme Student Government Officer
and to be involved in all of its activities, programs, and projects.

_____________________________________________
______________________________
Parent’s/Guardian’s Signature over Printed Name Date

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