(Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... 2. Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... 3. Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... 4. Signature .................................... Date..................................................................................... Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... 5. 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 ........................................................................................................... 6. (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... 7. Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... Signature .................................... Date..................................................................................... 8. Signed in the presence of ........................................................................................................... (Candidate/Chief Election Agent/Authorized Representative) Full names ................................................................................................................................ (Block letters) National Registration No. .......................................................................................................... - 24 -