Rm. 301, Pius XII Catholic Center, 1175 U.N. Ave., Manila Telephone No. 521-5005
Archdiocese of Manila OUR LADY OF AIRWAYS PARISH
(PHOTO) 1X1
Airport, Pasay City
PPCRV VOLUNTEERS’ REGISTRATION FORM Date:_________________ I wish to become a member of the PARISH PASTORAL COUNCIL FOR RESPONSIBLE VOTING in promoting responsible voting and responsible citizenship Name: _______________________________________________________ Nickname:_________________ Date of Birth:____________________Sex:_____Civil Status____________ Citizenship__________________ Address: Residence ________________________________________________Tel. No._________________ Office_____________________________________Tel. No.________________CP_____________________ Occupation_______________________________________________________Age____________________ Organizational Membership_________________________________________________________________ Previous PPCRV Experience (Date & Assignment)_______________________________________________ I am a registered voter of: Barangay________________________________________City:__________________________________ -------------------------------------------------------------------------------
Preferred Volunteer Assignment (Please Check): ( ( ( ( ( (
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Voter’s Education (Speakers’ Bureau/Training) Voters, List Cleansing & Verification Accountable Material Verification Audit Trail Team Precint Poll Monitoring Voters, Assistance Desk Technical Assistance Group
( ( ( ( ( (
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Special Witnesses of Truth (Roving) Election Monitoring System Encoder Logistics (Food & Supplies) Transportation & Communications Finance & Solicitation Others______________________
PPCRV PLEDGE I pledge to work for the promotion of responsible voting and responsible citizenship as a faith response to the call for political renewal and social transformation. I also pledge to work for Clean, Honest, Accurate, Meaningful and Peaceful (CHAMP) elections without fear or favor, in a non-partisan manner, in the service of God and country. In the event that I choose to become involve in partisan politics or decide to take on the noble task of seeking an elective position in government. I shall automatically resign from the PPCRV and return my membership card. Recommending Approval:
PPC President/PPCRV Coordinator
Approved by:
MSGR. MODESTO M. TESTON Parish Administrator
Noted by:
District Coordinator