Certificate of Candidacy Form 2022

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UNIVERSITY OF SAN CARLOS

SUPREME STUDENT COUNCIL

COMMISSION ON ELECTIONS

CERTIFICATE OF CANDIDACY
I hereby announce my candidacy for the position of __________________________________ in
the April 21, 2022 Election; and after having been sworn to in accordance with law, hereby state
the following:
Name:____________________________________________ Stage name: _________________
Family Name, First Name(s), Middle Name
Birthdate: _________________________________________ Civil Status:__________________
Month/Date/Year
Place of Residence:______________________________________________________________
In Years/Semesters
Course and Year:_________________ Department: _______________ College:______________
Length of residence in USC:______________ Current Academic Load: ________ GWAG:_____
General Weighted Average Grade
Political Party:__________________________________________________________________
Indicate “Independent” if running independently
Contact Number:____________________________ Email:______________________________
Authentic Social Media Accounts
Pursuant to Article IX Sec 7a, all candidates shall declare all their social media accounts used to campaign for the purpose of eliciting votes
upon submission of Certificate of Candidacy. You may place in a separate sheet other social media accounts that may not be accommodated
in the space provided.

Facebook URL:___________________________________________
Twitter: _________________________________________________
Instagram:_______________________________________________
Other Accounts: ________________________________________________________________
Indicate the Media and the account URL
Present Affiliations
University-based or community-based membership in any group or organization

Organization Position Date of Membership


______________________ _________________________ _________________________


______________________ _________________________ _________________________

______________________ _________________________ _________________________

I am a natural-born Filipino Citizen.


I possess all the qualifications and none of the disqualifications for the
office I seek to be elected to.
I will support and defend the USC Constitution and will maintain the true
faith and allegiance thereto.
I assume voluntarily the obligation imposed by my oath, without mental
reservation or purpose of evasion.
I hereby certify that facts stated herein are true and correct to the best of
my knowledge.

Signature of Candidate Above Printed Name


UNIVERSITY OF SAN CARLOS
SUPREME STUDENT COUNCIL

COMMISSION ON ELECTIONS

CERTIFICATION

This is to certify that , running as


______________________, is a bona fide undergraduate/graduate student of the
University of San Carlos with an academic load of units in the second semester of
AY 2021-2022.
This certifies that the information stated above is accurate to the best of his/her
knowledge.

___________________________________________
Signature of Dean/Chairperson Above Printed Name

For inquiries, you may contact the official email address of USC-SSC COMELEC at [email protected] or
[email protected].
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Other requirements of Certificate of Candidacy: (Article 8 Sections 2 and 3 of the 2014 USC SSC Election
Code)

Two (2x2) black and white or colored picture with white background
Present ISMIS study load
Filing fee of One Hundred Pesos (P100) per candidate.
For incumbent officers in the USC – SSC, a signed and approved letter of resignation

Submit all requirements within March 21-24, 2022. There will be a P50.00 penalty for every requirement
submitted later than the deadline (Article VIII Section 3 of the 2014 USC-SSC Election Code).

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