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SAINT LOUIS UNIVERSITY

SUPREME STUDENT COUNCIL (SSC)

COMMISSION ON ELECTIONS
Student Center Room 07B, Andres Bonifacio, Baguio City

CERTIFICATE OF CANDIDACY
Term: [ ] 1st Semester [ ] 2nd Semester ; School Year 20

-20

2X2 RECENT
PHOTO MUST BE
DECENT, FORMAL AND
BE TAKEN OVER A
Pls attach another 2x2 picture on
the second page. Write your
name on the back and staple both
on rightmost top.

I ______________________________________________________ of the school of _________________________________________________________,


a bona fide student of Saint Louis University, hereby file my candidacy for the position of
I assure that I possess and have met the qualifications of a candidate for Election in the Kataas-taasang Sanggunian Ng
Mga Mag-aaral / Supreme Student Council as stipulated in Article II of the KASAMA/SSC By Laws of 2000 pursuant to
Item A5, Chapter V of the SLU Student Handbook, 2004 edition and as duly certified by my School Dean and the Dean of
Student Affairs.
Furthermore, should my certificate of candidacy be approved by the Honorable Commission, I shall uphold, adhere and
submit myself to pertinent election laws and guidelines as promulgated by the Commission on Elections and the
Congress of Louisians.

PERSONAL INFORMATION
OFFICIAL NICKNAME/ALIAS:
Name (Last, Given, Middle)

POLITICAL PARTY: ________________


_________________________________________________ Student ID Number: ______________________

School: _____________________________________ Gender: __________________________ Age: ________________________________________


Course and Year: __________________________ High School: ___________________________________________________________________
City Address: ___________________________________________________________________________________________________________________
Home Address: ________________________________________________________________________________________________________________
Date of Birth: _______________________________ Place of Birth: __________________________________________________________________
Contact Number: ___________________________ Email Address: _________________ Facebook: _______________________

I hereby affirm that the above information are true and correct to the best of my knowledge. I am fully aware that
any culpable misrepresentation or concealment of information made in this document shall cause the invalidation
of my Certificate of Candidacy and probable election to public office in the Kataas-taasang Sanggunian Ng Mga
Mag-aaral / Supreme Student Council without prejudice to any administrative and disciplinary sanction/s that may
be imposed further, in accordance to the SLU Student Handbook.

__________________________________
SIGNATURE OVER PRINTED NAME
DATE:_____________________________
DISTRUBUTION: [1] FOR COMELEC

[2] FOR STUDENT AFFAIRS OFFICE

CERTIFICATION OF CANDIDATES ACADEMIC QUALIFICATIONS


Pursuant to item A5, Chapter V of the SLU Student Handbook, 2004 edition and Section 6, Article I and Article
II of the KASAMA/SSC By Laws of 2000, I hereby certify that
,
a ca n di da t e for the position of ______________________________ in the KASAMA/SSC General Elections for the
Academic year 20___-20____ is a student with a minimum load of eighteen (18) units except candidates
from the Graduate School, Schools of Medicine and Law and senior undergraduate students in their last
academic year.
The student has been enrolled in Saint Louis University for at least one (1) year, except for those running
for first year positions and has passed his total load during the previous semester and summer prior to
his election and in conformity with pertinent institutional practices
I hereby certify that the aforementioned student is [ ] QUALIFIED
for public office in the KASAMA/SSC General Elections.

[ ] NOT QUALIFIED to run

SCHOOL DEAN
School of
Date
NOTE TO THE DEAN: Please verify that the student have passed all his/her total load during the previous semester and summer, in
accordance with the provisions of item A5, Chapter V of the SLU Student Handbook duly concurred by the university administrat ion
before affixing your signature.

CERTIFICATION OF THE CANDIDATES MORAL INTEGRITY


Pursuant to the provisions of Section 6, Article I of the KASAMA/SSC By Laws of 2000 and to the records
available with this office, I hereby certify that
who is
applying for eligibility to run for public office in the Kataas-taasang Sanggunian Ng Mga Mag-aaral / Supreme
Student Council, is of good moral character and had not been subjected to any disciplinary measures
and/or sanctions for any violation of pertinent university rules and regulations during his/her stay in
Saint Louis University.
______________________________________________

DEAN OF STUDENT AFFAIRS


Date

PERSONAL/CHARACTER REFERENCES
The following people can confirm that they have known ______________________________________________________. Should there be
any specific questions, please feel free to contact the persons herein provided.
Name: ______________________________________________
Address: ___________________________________________
Contact Number: __________________________________

Name: ________________________________________________
Address: ______________________________________________
Contact Number: ____________________________________

NOTE: It is advised that the persons whose names appear above are one of candidates advisers/instructors and/or president of
organization the candidate is a member thereof.

APPROVAL OF THE CANDIDATES QUALIFICATION AND ELIGIBILITY TO RUN FOR PUBLIC OFFICE
Having been verified that
with ID number
has met the qualifications for candidacy for the position of
in the
, this Honorable Commission hereby approves this Certificate of
Candidacy to run for public office.
COMELEC CHAIRMANS PRINTED NAME AND SIGNATURE
(Not valid without the Official Seal of the Commission on Elections)
Date:

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