Philippine Jaycees, Inc

Comelec Form No. 01

Junior Chamber International Philippines

Worldwide Federation of Young Leaders and Entrepreneurs

PHILIPPINE JAYCEES, INC.

14 Don A. Roces Ave., Quezon City

CERTIFICATE OF CANDIDACY

Name: ______Position Aspired: ______

Instructions:

a) Please print all entries, except those

customary signatures

b) Accomplish this form in five (5) copies THIS SPACE IS

and file the first copy with the JCP RESERVED FOR

Comelec, the second copy with the JCP JCP COMELEC

Nominations Committee at 14 Don A. USE ONLY

Roces Ave., Quezon City. The candidate

may keep fourth copy for his/her file.

c) This form, duly accomplished, must be

filed with the JCP Comelec on or before

______

I, whose name and other personal circumstances are herein stated, do hereby filed this Certificate of Candidacy for National Director of the Philippine Jaycees, Inc. in the consensus election for the year 20____ and I do hereby declare my intention and desire to be nominated for the particular position or office of ______

and I further state that:

1.My complete mailing address is ______

______and I may be contacted by telephone in the following numbers ______.

2.I was born on the ______day of ______, 19 ______at ______and my exact age on the first day of January , 20 __shall be ______years, ______months and ______days ;

3.I am presently a member in good standing of the ______Jaycees, ______region, ______area of the Philippine Jaycees, and I have been a member of this organization for ______years commencing on my induction as a regular member on the ____ day of ______, 20 ___ ;

4.My chapter or LOM aforementioned is current in the payment of membership dues to, and is an affiliated in good standing of the national organization ;

5.In my chapter or LOM, I have been elected to the following positions arranged in chronological order :

YearElective Position HeldYearElective Position Held

______

6.In the Philippine Jaycees, I have held the following positions, arranged in chronological order :

YearElective Position HeldYearElective Position Held

______

Comelec Form No. 01

Certificate of Candidacy

Page 2 of 3 Pages

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7.My present candidacy has been duly endorsed by a resolution of the Board of Directors of my chapter, a copy of which resolution is hereto attached as Annex “A” and made an integral part hereof ;

I have prepared a Plan of Action in the form prescribed by the JCP Secretariat or a

Financial Management Plan in the form prescribed by the JCP Commission on Audit, a copy of which is hereto attached as Annex ”B” and made an integral part hereof ;

I have fully and truthfully filled-up a questionnaire relative to my biographical data,

concepts and beliefs, a copy of which is hereto attached as Annex “C” and made an integral part hereof ;

I have read and understood the provisions of the Constitution and By-Laws of the

Philippine Jaycees, Inc., the Policy Manual and the National Election Code of the Philippine Jaycees, Inc. pertinent to and governing the qualifications of candidates, the prohibited acts or activities during the campaign period and other similar matters;

I possess all the qualifications and I have none of the disqualification’s pertaining

to the office or position for which I file this Certificate of Candidacy ;

I voluntarily submit my candidacy to a consensus for national officers pursuant to

Sec.3, Art. VII of the Constitution and Policies Nos. 7.1 and 7.2 of the Philippine Jaycees Policy Manual and that, in order to give effect to the will of the membership, I do hereby irrevocably authorize the withdrawal of my nomination and/or candidacy in the event that I do not obtain the requisite votes;

In case I am nominee representing an area or region, I hereby undertake the

mandatory obligation to obtain from the Area Comelec, a certification of my election either as National Executive Vice President or National Vice President, as the case may be, during the appropriate Area Conference, and to forthwith file the said certification with the National Comelec, seeing to it that it is received therein at least ten (10) days prior to the first day of the current National Convention, a copy of which certificate shall be attached as Annex”D” and made an integral part hereof;

I likewise undertake the mandatory obligation to obtain, at the proper time, a certification by the Area Conference Director or the National Convention Director that I am registered and in attendance at the Area Conference and National Convention at which I am a candidate or nominee, and to forthwith file the said certification with the National Comelec at the conference or convention site on the first day of the said conference or convention , a copy of which certification shall be attached hereto as Annex “E” and made an integral part hereof ;

I am remitting herewith the filling fee corresponding to the office or position for which I am filing this Certificate of candidacy, in the sum of______Pesos (P ______), Philippine currency, in cash or in the form of manager / cashier’s check or, I have paid the requisite filing fee with the National Treasurer of the Philippine Jaycees as shown by a true machine copy of the official receipt hereto attached as Annex “F” and made an integral part hereof.

Comelec Form No. 01

Certificate of Candidacy

Page 3 of 3 Pages

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16.I have furnished the Secretary General and the Nomination Committee of the Philippine Jaycees one copy of each of this Certificate of Candidacy together with the annexes thereto ;

17.I shall attend the OfficersCollege at such time as may be designated.

IN WITNESS WHEREOF, I hereunto affix my signature on the left hand margins of pages one and two and in the appropriate space on page three of this Certificate of Candidacy, this_____ day of ______, 200___ at ______,

______

Printed Name of Candidates Customary Signature

ACKNOWLEDGEMENT / VERIFICATION

BEFORE ME, on the date at the place first above written, personally appeared the person whose name and customary signature are here in above set forth, known to me and by me known to be the same person who executed the foregoing Certificate of Candidacy which consist of three (3) pages including herein page, and signed by him on the left hand margins of pages one and two end in the appropriate space above, and he acknowledge to me that the same is his own free act and deed and that the contents therein are true and correct of his own acknowledge.

WITNWSS MY HAND AND SEAL.

______

Notary Public

Until December 31, 20______

PTR No, ______

Issued on ______

Issued at ______

Doc, No. ;

Page No. ;

Book No. ;

Series of 20_____.

Enclosure:

Annex “A” -Endorsement of Candidacy ( Comelec Form No. 1-A )

Annex “B” -Candidate’s Plan of Action Or Financial Management Plan ( Comelec

Form No. 1-B or refer to the form prescribed by the Secretary General

or the COA, respectively)

Annex “C” - Comprehensive Data Sheet ( Comelec Form No. 1-C )

Annex “D” - Area Comelec Certificate ( Comelec Form No. 1-D )

Annex “E” -Certificate of Registration/Attendance in the Area Conference / National

Convention ( Comelec Form No. 1- E )

Annex “F” - Official Receipt of JCP National Treasurer

Annex “A”

Certificate of Candidacy

Comelec Form No. 1-A

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ENDORSEMENT OF CANDIDACY

We, the undersigned, constituting the majority of the member of the Board of Directors

of the JCI ______, a LOM or affiliated in good standing and current in the payment of its dues to the JCI Philippines (Philippine Jaycees, Inc.) do hereby certify that we have endorsed the candidacy of JCI Mem. ______who is regular member of our chapter, for National Director of the JCI Philippines. or for a particular position or office of ______in the consensus election to be held this year during the Area Conference and National Convention in ______on ______, 20____, by virtue of a board resolution dated ______,20 _____ which reads as follows :

“ RESOLVED to endorse as it is hereby endorsed, the candidacy of JCI Mem. ______who is a regular member of our chapter for National Director of the JCI Philippines or in the consensus election to be held in ______on ______, 20 ____ during the 20 _____ Area Conference / National Convention.”

IN WITNESS WHEREOF, we hereunder affix our signatures this ______day of______20 ____ at ______.

Printed Names of DirectorsCustomary Signatures of Directors

______

Annex “B”

Certificate of Candidacy

Comelec Form No. 1-B

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CANDIDATE’S PLAN OF ACTION

(OR FINANCIAL MANAGEMENT PLAN)

Note :Please refer to and use form that may have been otherwise prescribed by

the Secretary General or the Commission on Audit of the JCI Philippines (Philippines Jaycees, Inc.) as the case may be.

______

Customary Signature of Candidate

JCP Form No. 088 - A

Junior Chamber International Philippines

Worldwide Federation of Young Leaders and Entrepreneurs

(PHILIPPINE JAYCEES, INC.)

14 Don A. Roces Ave., Quezon City

NATIONAL OFFICERS PLAN ACTION

Name of Candidates:______

Position Required : ______

OBJECTIVES / GOALS:

STRATEGY:

PROPOSE PROJECT / ACTIVITIES:

TIMETABLE:

ORGANIZATION:

BUDGET:

Signed:______

Date :______

Annex “C”

Certificate of Candidacy

Comelec Form No. 1-C

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CANDIDATE’S COMPREHENSIVE DATA SHEET

(Note: This questionnaire should be accomplished and signed on the left-hand margin of page one and on the bottom portion of page two)

BIOGRAPHICAL SKETCH

Name: ______Sex: ______Marital Status ______

Age : ______Educational Attainment: ______

Birthdate: ______Birthplace: ______

Name of Spouse: ______No of Children: ______

Date / Place of Marriage (if applicable) ______

Are you familiar with the Jaycee Creed and the Declaration of Principles set forth in the constitution and by-law’s of the Philippine Jaycees? ______

Are you familiar with the purpose of the Jaycees? ______

Are you fully aware of the general and specific qualifications for the office or position for which you file your Certificate of Candidacy? ______

Have you studied and understood the duties and responsibilities relative to the office or position for which you file your Certificate of Candidacy? ______

Are you aware of the letter and spirit of the officer’s Oath of Office and will you be

prepared to take the oath upon your election.? ______

Do you understand that, in order to qualify, a candidate must be both registered and in

Attendance at the area conference / national convention at which he is candidate? ______

If elected to the office for which you file your Certificate of Candidacy , will you be able to attend this year’s National Convention , OfficersCollege and Planning Session ? If you must clarify your answer , please do so ______.

Can you proficiently speak and write English and Tagalog? ______

Are you familiar with the JCI and JCIP Commission system and the areas of opportunities concept? ______

Do you realize and accepts the JCIP cannot guarantee to reimburse all the travelling and other expenses which you may necessarily incur in carrying out your official duties as a national officer ? ______

Are you fully aware that the National Board of the JCI Philippines (Philippine Jaycees), operates bymajority rule and, if elected thereto, can you loyally uphold its decisions even if youmight be one of the voting minority ?______.

13.If elected as a national officer of the JCI Philippines (Philippine Jaycees, Inc.), approximately how many days will you be able to devote to Jaycee Travel in the discharge of the duties of your office during your term? ______

______

Are there any specific problems that may be anticipated regarding your Jaycee travel as a national officer? If so, please specify. ______

Annex “C”

Certificate of Candidacy

Comelec Form No. 1-C

Pages 2 of 2 Pages

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What is the nature of your profession / vocation? ______

______

Are you confident that your health will enable you to fulfill your duties as a national officer, as well as your family and business responsibilities? If not, please specify. ______

Can you give an assurance at this time that your family and business responsibilities

can permit you to give sufficient time to the requirements of the office to which you

may be elected ?______

State briefly your performance / achievements as an officer, in varying capacities, of your LOM / Chapter. ______

______

State briefly your performance / achievement as an officer, in varying capacities, of your regional, area or national organization ? ______

______

State briefly your involvement in non-Jaycees activities in the community where you are based.______

Meetings

A)Do you agree to at least attend 80% of the following meetings?

Type of MeetingsTotal No. of MeetingAnswer

National Board six(6) ______

EXCOM two(2)______

ACM two (2) ______

RCM three(3) ______

B)Do you agree that your expenses from the above meetings be on your account?

______

22.LOM Visitations:

Do you agree to visit at least 80% of the LOMs in good standing under your

jurisdiction within the first semester? ______

23. Other Statements. (Please specify briefly)

______

Customary Signature of Candidate

Annex “D”

Certificate of Candidacy

Comelec Form No. 1-D

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AREA COMELEC CERTIFICATION

(Note:The Certification must be duly accomplished by the Chairman of the Area Comelec and, at the initiative of the NEVP-Elect or the NVP-Elect concerned, forthwith sent to the JCIP Comelec, calculated to be received by the latter at least fifteen (15) days prior to the first day of the 200___ National Convention)

Name of Candidate Name of Chapter / LOM

First NameNicknameLast Name

This is to certify that the Jaycee, whose name and chapter / LOM are herein above indicated, was duly elected as ((Please check appropriate box)

NEVP for ______AreaNVP for ______Region

during the Area Conference held on the date at the place herein below indicated:

Area ConferenceDateVenue of the Conference

______

Printed Name/Signature of Printed Name and signature of

Area Comelec Chairman JCP Comelec Commissioner

Annex “E”

Certificate of Candidacy

Comelec Form No. 1-E

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CERTIFICATE OF REGISTRATION AND ATTENDANCE IN THE

AREA CONFEENCE OR IN THE NATIONAL CONVENTION

( Note:This Certification must be duly accomplished by the Conference or Convention Director and, at the initiative of the candidate concerned forthwith filled with JCIP Comelec on the first day of the Conference or Convention, as the case may be )

Name of CandidateName of Chapter / LOM

First NameNicknameLast Name

This is to Certify that the Jaycee, whose name and chapter / LOM are herein above

indicated, stated, is duly registered and in attendance during the Area Conference /

National convention held on the date and at the place herein above indicated:

Conference/ConventionDateVenue of Conference/Convention

______

Printed Name of Area Conference Signature of Area Conference

or National Convention Director or National Convention Director