Republic of the PhilippinesMontalban Logo.png

Province of Rizal

Municipality of Montalban

Colegio de Montalban

Kasiglahan Village, San Jose, Rodriguez, Rizal

COLLEGE ELECTION COMMITTEEMRS. IMELDA O. AUSA Vice-President for Administration and Finance’s Office.jpg

COLLEGE ELECTION 2026
 CANDIDACY FORM

Section A: Personal Information

 Full Name: ___________________________________________
Course & Year: ________________________________________
Student ID Number: ____________________________________
Age: _______  Sex: _______
Email Address: ________________________________________
Mobile Number: ________________________________________

Section B: Position Being Applied For ______________________________

                                              Name of Organization

I am filing my candidacy for the position of:

 ☐ President
☐ Vice President
☐ Secretary
☐ Treasurer
☐ Auditor
☐ Public Information Officer
☐ Senator (Year Level Representative) (Specify Year: ________)

Section C: Academic and Conduct Clearance

(To be filled by the Registrar/Dean or Office of Student Affairs and Services with their affixed signature)

  • General Weighted Average (GWA):                         ________________

(Registrar)

  • Good Moral Standing: ☐ Yes ☐ No                         ________________

(Program Head)

  • Cleared of Disciplinary Actions: ☐ Yes ☐ No                 ________________

(Student Affairs and Services)

 Signature of Verifying Officer: _________________________
Printed Name: ____________________________________
Position: _________________________________________
Date: _______________

Section D: Endorsement

I hereby endorse the candidacy of the above-named student for the stated position.

Name of Endorser (Faculty, Org President or Org Adviser): _______________________
Signature: ___________________________
Position: ___________________________
Date: ___________________

Section E: Platform of Governance

(Attach a separate sheet if needed)

Briefly state your platform, goals, or advocacy if elected:





Section F: Declaration

I hereby declare that all the information provided above is true and correct. I agree to abide by the rules and regulations set by the Electoral Committee. I understand that any false declaration or violation of the election rules may result in disqualification.

Signature of Candidate: ___________________________
Date: ___________________

MRS. IMELDA O. AUSA Vice-President for Administration and Finance’s Office.jpg

(028) 395-9731 / saas@pnm.edu.ph  / pnm.edu.ph / portal.pnm.edu.ph

THE PIONEER LUC IN THE PROVINCE OF RIZAL

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