Republic of The Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
SAN MATEO NATIONAL HIGH SCHOOL

SUPREME STUDENT GOVERNMENT

ELECTION FOR S.Y. 2023-2024

CERTIFICATE OF CANDIDACY _______________

Recent 1 X 1 ID
(Date of Filing)
Picture wearing FOR SSG ELECTION S.Y. 2023-2024
a formal attire
or school attire

As an aspiring officer in the San Mateo National High School Supreme Student Government, you must
adhere to the Department of Education's beliefs, ideas, and values. You are the student body's representative
and must constantly be equipped to lead the student body and safeguard its rights and welfare. As a mature,
principled, and enthusiastic leader, you have to constantly act as a role model for your fellow students at all
times.

I. DATA PRIVACY NOTICE

Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving
other purposes not intended by the process owner is a violation to Data Privacy Act of 2012. Provision of data
and information consents the owner to serve its purpose.

☐ Sang-ayon ako sa DATA PRIVACY NOTICE. (I agree to the DATA PRIVACY NOTICE.)

II. FILING OF CANDIDACY

I hereby announce my candidacy for the position of the __________, in the 2023 Supreme Student
Government Election of San Mateo National High School; and after having been sworn to in accordance to the
Revised Standard Constitutions and By-Laws of Supreme Student Government in Secondary Schools, hereby
state the following: (Choose one (1) position and check the box)

☐PRESIDENT

☐EXTERNAL VICE-PRESIDENT

☐INTERNAL VICE-PRESIDENT

☐SECRETARY

☐TREASURER

☐AUDITOR

☐PUBLIC INFORMATION OFFICER

☐PROJECT COORDINATOR

☐GRADE LEVEL REPRESENTATIVE

III. GENERAL INFORMATION

Name :___________________________________________________________________ Grade & Section:___________________
Surname, First Name, Middle Initial

Complete Address: ___________________________________________________ Gender:_________________ Age:_________

Political Party : _______________________________________________ Date of Birth:____________________________________

Just write
(Complete Independent
Month if not involved
/ Day / Year)
Facebook Name: _____________________________________

Email Address: _____________________________________________

Phone Number: ____________________________________________

IV. SKILLS SUMMARY

Skills and Abilities that will support your candidacy (Maximum

Computer Expertise (MS Word, MS PowerPoint, etc.)
of 7)

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Affiliations: Clubs and Organizations (Inside and Outside The School)

CLUB/ORGANIZATION YEAR/S OF MEMBERSHIP POSITION

_________________________________________ _________________________________________ _________________________________________

_________________________________________ _________________________________________ _________________________________________

_________________________________________ _________________________________________ _________________________________________

_________________________________________ _________________________________________ _________________________________________

_________________________________________ _________________________________________ _________________________________________

V. EDUCATIONAL BACKGROUND (IN S.Y. 2022-2023)

a. Quarterly Average

Academic Quarters General Average Honors (With Honors, High Honors, etc.)

Quarter 1 ____________ _________________________________________

Quarter 2 ___________ _________________________________________

Quarter 3 ___________ _________________________________________

b. Other Academic Attainments

Other Academic Awards / Achievements that will support your candidacy.

___________________________________________________ Year attained: _____________________________

___________________________________________________ Year attained: _____________________________

___________________________________________________ Year attained: _____________________________

___________________________________________________ Year attained: _____________________________

___________________________________________________ Year attained: _____________________________

c. Proof that the data and information above is correct

Please attach your temporary progress report card or grade card this school year 2023 – 2024 in
this C.O.C.

VI. CANDIDACY EVALUATION

1) Why do you want to be an officer of SMNHS-SSG? Write in paragraph form in the space provided below.

2) Consider a period when you had an uninspired team that was consistently late in deadline. What was
your leadership style? And how did you motivate and empower them to put in the effort diligently to

complete their tasks on time? Write your response in the space provided below.

Campaign Tagline: _____________________________________________________________________________________

(Example: What do we aim for? Quality work & the ultimate satisfaction!)

VII. SIGNATURES
a. Parent’s Permit
Ako si ____________ (Pangalan ng Magulang), ay pinahihitulutan ang aking anak na si _____________
(Pangalan ng Kandidato) na lumahok sa SMNHS - SSG ELECTION 2023 - 2024 bilang kandidato sa
posisyong _________ (Posisyon na Kakandidatuhan). Lubos kong naiintindihan ang mga responsibilidad at
tungkulin na maaring maiatang sa kanya kung sakaling magwawagi siya sa naturang pwesto. Nangangako
ako na susuportahan ko siya hanggang sa abot ng aking makakaya.

Parent’s/Guardian’s Name: ________________________________________________ SSG Position:____________________________________

Surname, First Name, Middle Initial
Candidate’s Name: _____________________________________________
Surname, First Name, Middle Initial

b. Candidate’s Pledge

I am a genuine student at this school with excellent moral qualities and academic standing, and I
will adhere to the Division Level Supreme Student Government Commission on Elections' election
regulations and recommendations.

I hereby attest that, to the greatest extent of my knowledge, the facts provided herein are accurate
and correct.

_______________________________________ _______________________________________
Signature of the Parent / Guardian Signature of the Candidate

VIII. SSG COMELEC’S PLEDGE (candidates are not required to occupy this section)

SUBSCRIBED AND SWORN to me before this ________ day of __________ year _______, at ________, with the
affiant displaying to me his/her candidacy item including his/her C.O.C, portrait, academic transcripts,
parental consent, general plan of action, piece of writing, and credentials.

_______________________________________
SSG COMELEC Chairman