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Ce Form No A30

This document is a temporary appointment form for members of the Electoral Board in the Philippines for Barangay and Sangguniang Kabataan elections. It outlines the roles, responsibilities, and conditions under which the appointed individuals may assume office, including the requirement to take an oath. The appointment is subject to cancellation under specific circumstances, such as the arrival of duly appointed members or familial relationships within the board.

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MO HA
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679 views1 page

Ce Form No A30

This document is a temporary appointment form for members of the Electoral Board in the Philippines for Barangay and Sangguniang Kabataan elections. It outlines the roles, responsibilities, and conditions under which the appointed individuals may assume office, including the requirement to take an oath. The appointment is subject to cancellation under specific circumstances, such as the arrival of duly appointed members or familial relationships within the board.

Uploaded by

MO HA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Annex "AA"

C.E. Form No. A30

Republic of the Philippines


COMMISSION ON ELECTIONS

BARANGAY AND SANGGUNIANG KABATAAN ELECTIONS.

--------------------------------------------- ------------------------------------------------
(Municipality, Province) (Date & Time)

TEMPORARY APPOINTMENT OF CHAIRPERSON/POLL CLERK/THIRD


MEMBER/SUPPORT STAFF OF THE ELECTORAL BOARD
Instructions: Prepare in three (3) copies: First copy to be retained by the Election Officer (EO) for his/her file; second copy to be
retained by the EO to be attached to the payroll for payment of honorarium of Electoral Board and third copy issued to the
chairperson, members, support staff of the Electoral Board.

Name:
Address: _
(House No., Street, Barangay, Municipality and Province)

Sir/Madam:
You are hereby TEMPORARILY APPOINTED as

(Chairperson/Poll Clerk/Third Member/Support Staff)


of the Electoral Board in Precinct No/s. with polling
place located at in Barangay , Municipality
of , Province of ,

You may immediately assume office upon taking your oath as required by law. However, this
appointment will be automatically cancelled and considered null and void as soon as the duly
appointed Chairperson/Poll Clerk/Third Member/Support Staff of the Electoral Board for this/these
precinct/s shall appear/report for duty or the vacancy is filled, or you are related to any member of
the Electoral Board of said precinct/s within the fourth civil degree of consanguinity or affinity. In
the latter cases, you shall not assume the duties of the office and shall immediately return this
appointment to the Election Officer.
Assumption to office notwithstanding above prohibition is punishable under the law.

(Signature Over Printed name) (Signature Over Printed name)


Position as Electoral Board Position as Electoral Board
C.E. Form No. A31

(Municipality, Province) (Date & Time)

OATH OF TEMPORARY ELECTORAL BOARD


CHAIRPERSON/POLL CLERK/THIRD MEMBER/SUPPORT STAFF

I, , solemnly swear that I will faithfully perform the duties of


_____________________________ of the Electoral Board in Precinct No/s. _____________________, Barangay
_______, in the above stated city and province to the best of knowledge and ability, without favoring any person
or group; that I will obey the laws and legal orders promulgated by the duly constituted authorities, and that I
voluntarily impose upon myself this obligation without mental reservation or purpose of evasion. SO HELP ME GOD.

(Signature Over Printed Name)

SUBSCRIBED AND SWORN to before me this ________ day of _________________________, 2023, at above
stated place.

(Signature Over Printed Name)

Administering Officer
Chairperson/Co-Member
Registered Voter of the Precinct

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