COC
COC
DEPARTMENT OF EDUCATION
Youth Formation Division
PERSONAL DETAILS:
Gender: ______ Age: _______ Date of Birth: _______________ Email Address: ___________________
Mobile Number: _______________ Landline: _____________ Home Address: _________________________
ELECTORAL INFORMATION:
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 ______ 2020, at ___________________________,
affiant exhibiting to me his/her nomination kit which contains his/her COC, photograph, academic records, and
parental consent.
_________________________________
SSG COMELEC REPRESENTATIVE
( ) C.O.C ( ) 2 Pcs 2X2 Photograph ( ) Report Card ( ) 2 Recommendation ( ) General Plan of Action