8/14/2019 Ramon Revilla Jr.

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Republic of the PhilippinesCOMMISSION ON ELECTIONSManila

CERTIFICATE OF C NSENATO

'INSTRUCTIONS; (Readwell before filling upthis form.), 1. Filethis In FNE (5) LE GI BL E copie s.

2. File. this certificate of candidacy with the Law Department, COMELEC Main Office, In tram ur os, M anila, sta rting N ovemb er 20, 2009 up tomldnJgh t of N ov ember 30, 2009.3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After mldnlqht of November 30, 2009, nocertificate of nomination shall be accepted.

4. TItles such as 'Dr., Atty., Don, Glnoo; Senor, Datu, Hadjl, Sultan, Bal, Senora, Kapitan or Simlar titles are expressly prohibited.5. This certificate shall be Sworn beFore a notary public or any off icial authorized to administer oath. COMELEC off icials are not authorized to

administer oath.~ '~ A r e b Ynnounce my candidacy for the position o~S'ENAtOft,rtpubllc of the Pbilit)!)inM, in tltl!M~y HI, 20HI tll!!i::l:iol1!!1f~~~:ial'ter having been ~wornto in accordance with law, hefebY:?i~ tE! thE!ollOWing:~~w.!,~r ... .., '.

1----------------------~--------------------------------------------4S_MYCnnlSTATU5~: o Single 0Widowfer0 0 M arried 0Lega lly S ep a rat edo Annulled1DivorcedFullName of Spouse, if marriedlAN I M ERCADO-REVILLA

1. MY NAME IS :

1.1 Last Name BON G REV IL L A1.2 first N ame RAMO N J R!.3MlddleName B AUT 1ST Ar AM GENERAllY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME

T",;oicate only one~;m; or stagename)

7. I AM OFFICIALLY NOMINATED BY: (Attach Certificate of Nomination) lA KAS-KAMPI -CMD9-. M Y RESIDENCEIADDRESS IS : 9.1 Province C A V I T E9.2 City/Munidpalfty . 9.3 Barangay .RAeOOR P F E S P I R I T U 79A'House N o . 1 Street I Su bdivision'305 AGUINALDO HIGHWAY

11. MY POST OFFIe" ADDRESS FOR ELECTION PURPOSES IS : (Couldbe the samea.No.9)'~05 AGUINALDO HIGHWAV, PFESPIRITU7, BACCCR, CAVITE

~,/ 3. MY PERIOD OF RESIDENCE IN THE PHIUPPINES BEFORE MAY 10, 2010 IS:437 No.of Months No.of Years

14 . I AM A N A TU R AL BOR N F IU PIN O C IT IZ E N.15. I A M N OT A PE RMA NE NT R ESID ENT OF, OR IMMIGRANT TO, A F OR E IG N

COU NTRY.16. I AM EU GIB LE FOR TH E OFFI CE I SEEK TO BE ELECTED TO;17. I WILL SUPPORT AND DEFEND THE CONSTITUT ION OF THE REPUBL IC OF THE

PH IL IPP IN ES AND WILL MA INTA IN TRUE FA ITH AND A LLEG IA NCE THERETO. IWILL OBEY THE LAWS, LEGAL ORDERS AND DECREES PROMULGATED BY THEDULY CO NSTITUTED AUTHORITIES. I IMPOSE TH IS OBLIGATION UPON MYSELFVOLUNTA R ILY, WIlliOUT MENTAL RESERVAT ION OR PURPOSE OF EVASION .

I he re by c er tify t ha t t he fa ct s s ta te d h ere in a re true a nd corre ct of

3. M Y G EN DE R IS : 4. MY AGE IS :i R l Male D Female 4 35. M Y DATEOF BIRTH IS :

09-25-1966Mon th Oa y Year

OATHSUBSCRIBEDAND SWORN to before me this 26th day of November 2009, at MAKATI CITY, a iffant~'

!Philippine Passport No. EA0000146 Issued on: 18th of September 2009 at Manila, Philippines _L". I"'.'Z i tJ O . . aJ1YR A F "RA F . lbA

Doc. No. '3 . -- ._-------- -- NO: RY P UBL ICpageNo.~ ""='"""''''SIO~1E IRESONBook No. - r (Officer Authorized to Administ~rlci~Mn::> . J 1, I ' . D E C E M B E R 3 1 . 2 0 iJ 9Series o f 2 00 .9 lry stamp) MM\AT I ~;ITYROLL NO. 53414

6.MY PLACEOFBIRTH IS :City/Nun M AN I l APr ov ince N C R

10.MY PROFESSION OROCCUPATION IS ;SENATOR OF THE P HILS .12. I AM A REGISTERED VOTER OFPrecinct 0151 H8gy PF ESPIRITU 7Oty/~lun BAeOORProVince CA VUE

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