Republic of the Philippines

COMMISSION ON ELECTIONS
Manila

CERTIFICATE OF
SEN
INSTRUCTIONS; (Read well before filling up this form.)
1. File this in FIVE(5) LEGIBLEcopies.
2. File this certificate of candidacy with the Law Departrnerit.. COMELEC Main Office, lntramuros, Manila, starting November 20, 2009 up to
midnight of November 30, 2009.
3. Attach to this certificate the Certificate of Party Nomination unless you are an independent candidate. After midnight of November 30, 2009, no
certificate of nomination shall be accepted.
~-4. Titles SUdl as 'Dr., Atty., Don, Ginoo, Senor, Datu, Hadji, Sultan, Bel, Senora, KapItan or similar titles are expressly prohibited.
5. This certificate shall be SWOrn before a notarv public or anv official authori.ed to administer. oath. COMELEC officials are not autborlz ed to
administer oath.

1. MY NAME IS : 3. MY GENDER IS : 4. MY AGE IS :

~ Male DFemale 65
1.1 Last Name BELLO
5. MY DATE OF BIRTH IS :
1.2 First Name
SILVESTRE III 06 -
.'
23 -194.4.
1.3 Middle Name Month Day Year
HERNANDO
6. MY PLACe OF BrRTH IS :
2, lAM GENERALLY OR POPULARLY KNOWN BY THE NICKNAME OR STAGENAME
'ndcate only one nickname or stlgename) Citv/Mun GATl'ARAN
Province CAGA YAN
BEBOT
~--------~--~------------------------------------~------------~----i8.MYCIVIL5TATUSIS:
7. I AM OFFICIALLY Noro1INATED BY: (Attach Certificate of Nomination)
'0 Single 0 Widow/er
LAKAS-KAMPI CMD II] Manied 0 LegallySeparated
9. MY RESIDENCE!
ADDRESS IS:
9.1 Province o Annulled I Divon:ed

. 9.2 City/Municipolity QUEZON CITY 9.3 Barangay OtD BALARA

Full Name of Spouse, if married
REGINA GERON A BELLO
10. MY PROFESSION OR
9.4 House No.1 Street I Subdivision . Grand ,Vl·.11 OCCUPATION IS:
g006 Hon. Benito Soliven .Ave. III Loyola. S LAWYER

11-. MY POST OFFICE ADDRESS' FOR ELECTION .PURPOSES IS ; (Coul<U>ethe same aH'lo.91 d 12. I AM A REGISTERED VOTER OF
4t~ ~lQQ[ Lg ~~!C~nter Herrera ~or., ~a~ce q St. ,
..... '.- .. ,,_.<-,., katiGit Precinct 83A

lrs. MY PERIOD OF RESIDENCE IN THE PHILIPPINES BEFORE MAY' 10, 2010 IS:
Bgy BALIGATAN
Cily/Mun ILAGAN
··-r- 10 No. of Months 65 No. of Years
Province
ISABELA
~
14. I AM A NATURAL BORN FILIPINOCrnZEN. .. ' D"I'UUHUPIUNf'.
15. I AM NOT A PERMANENT RESIDENT OF, OR IMMIGRANT TO, A FOREIGN
COUNTRY.
16. I AM ELIGIBLE FOR THE OFFICE I SEEK TO BE ELECfED TO.
17. I WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE REPUBLIC OF THE
PHILIPPINES AND WILL MAINTAIN TRUE FAITH AND ALLEGIANCE THERETO. I
WILL OBEY THE LAWS~ LEGAL ORDERS AND DECREES PROMULGATED BY THE
DULY CONSTITUTED AUTHORITIES. I I~1POSE THIS OBLIGATION UPON MYSELF
VOLUNTARILY, WITHOUT MENTAL RESERVATION OR PURPOSE OF EVASION.

Thumbprint

. ~. 3 02009 OATH .
SUBSCRIBED AND ZORN tverare me this __ day of Nove,;,ber, 2009, at M.A·M 11 1\ , affiant exhibiting to me his/her
CTC{ldentifjcalian Card No. 31-1 Issued by &1'orClb W1 Om41 On; l1p'U tJf: 2cOfJ

Doc. No. _~6,..G=-·__

Page No. -..t.;{(:o-----
Book No. _--;1:.- _ (Officer Authorized to Administer Oath) ,...
~~\.-vI.
.c-_ -r1- r--
Series of 200_1

ATTY. MARIAN KRISTINE V. AMBATALI

NOTARY PUBLIC
UNTil DECEMBER 31, 2009
PTR NO. 0897805 • 01131/09 I ISABEL.'
IRP NO 71\111\? n1/nl<1nO J 1~/\Dt:I'1l