PETITION

Petitioner through counsel respectfully alleges:

1. That he is a qualified voter and was one of the registered candidates

voted for in the general election held on _____________ in the province of
_______________, Philippines within the jurisdiction of the court;

2. That according to the certificate of canvass of the provincial Board of

canvassers for the province of ________, the total votes for the office of the
provincial governor for the said province was ___________ the respondent
appearing to have received ______ votes the petitioner ___________ votes
and the other registered candidate voted for, as follows:_______________

3. That on _______, the said provincial Board of canvassers proclaimed the

respondent _______ elected to the office of the provincial governor of the
province of _______;

4. That the petitioner contests the election of the said respondent on the
following grounds: __________________.

5. That the petitioner is willing to give a bond, as this Honorable Court may
determine to cover all reasonable expenses and costs and damages,
incidental to these proceedings;

WHEREFORE, it is respectfully prayed:

1. That upon service of summons in accordance with law, a day be set

for the hearing of the protest;

2. That an order $e issued to the municipal treasurers of the

municipalities of ______ to bring and present before the Honorable
Court on or before the day of the hearing of this protest the ballot
boxes, copies of the registry list, the election statements, the voter’s
affidavits, and other documents used in the said election in said
municipalities, in order that this Honorable Court may re-examine
and revise the same;

3. That after due proceedings, the election of the respondent and

________________ for the office of Provincial Governor ____________ be
annulled and that the petitioner be declared duly elected instead;
4. That the expenses and costs incurred in these proceedings be
assessed against the respondent.

Name _______________________
Appointment No. ____________
Roll of Attorney No. _________
PTR No. ____________________
IBP No. _____________________
Office Address ______________
Email Address ______________
Contact Number ____________
MCLE Compliance Number __