9. Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 10. Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 11. Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 12. Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 13. Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 14. Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 15. Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... - 25 -

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