eleksyon+© Online Registration

Name of Candidate

Position of Candidacy

National
	President	Vice President
Local
	Governor	Vice-Governor	Provincial Councilor
	Congressman
	Mayor	Vice-Mayor	City / Municipal Councilor

Area of Candidacy / political Jurisdiction for Local Elections

District

Contact Person

Name of eleksyon+ Contact Person

Relation of contact person to candidate

Contact Number

Landline

Mobile

Email Address (separated by commas)

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