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ph
CEF-1B
Republic of the Philippines
COMMISSION ON ELECTIONS
APPLICATION FOR TRANSFER/
TRANSFER WITH REACTIVATION
APPLICATION FOR TRANSFER OF REGISTRATION RECORD
DUE TO CHANGE OF RESIDENCE
within the same city/municipality/district
to another city/municipality/district
I, ______________________________________________________, Filipino, born on ______________,
First name/Middle name/Last name
month/day/year
a duly registered voter in Precinct No. _____________________ of Barangay ______________________________,
City/Municipality of _________________________, Province of _____________________, single/widow/er/legally
separated/married to _________________________________, do hereby apply for the transfer of my registration
record due to transfer of my residence to :
House No./Street.________________________________________________________________________________
Sitio_________________________________ Barangay:_________________________________________________
COPY FOR THE ELECTION OFFICER
City/Municipality:__________________________________Province:_______________________________________
That I have resided in my new residence for ___ years and ___ months.
(To be filled out by applicant applying for transfer with reactivation.)
Further, I do hereby apply for the reactivation of my registration record which was deactivated due to (please
check appropriate box):
1. Sentence by final judgment to suffer imprisonment for not less than one (1) year;
2. Conviction, by final judgment, of any crime involving disloyalty to the duly constituted government, etc;
3. Declaration of insanity or incompetence by a competent authority;
4. Failure to vote in two (2) successive preceding regular elections;
5. Loss of Filipino Citizenship; or
6. Exclusion by a court order.
That said ground no longer exists, as evidenced by the attached certification/order of the court (in case of
1,2,3, 5 and 6).
IN WITNESS WHEREOF, I have hereunto affix my signature this ___ day of _____, 20___ at __________,
Province of ____________________________, Philippines.
(Signature above Printed Name)
SUBSCRIBED AND SWORN to before me on the above date.
EO/Chairman of the Election Registration Board
(Signature above Printed Name)
Notice to the applicant: Please accomplish the form at the back and have your biometric data i.e. your photograph, signature and fingerprints
captured digitally if: 1.) transfer is within the same city/municipality and you have not previously undergone validation procedure; or 2.) transfer is
to another city/municipality.
CEF-1B: COPY FOR THE ELECTION OFFICER (BACK)
Downloaded from http://irehistro.comelec.gov.ph
Application No.
Precinct No.
Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
PERSONAL INFORMATION (To be filled out by Applicant)
Part 1
Name
Illiterate
Person with Disability
Assisted by:
Last
(Please fill-up Assistor's Oath)
First
Gender
Male
Middle
RESIDENCE/ADDRESS
Province
Female
Height
City/Municipality
Barangay
Weight
DATE OF BIRTH
Month
House No. / Street
Day
Year
PLACE OF BIRTH
CITIZENSHIP
By Birth
Naturalized
City/Mun
Reacquired
Province
(If naturalized/reacquired, state date of naturalization/reacquisition and Certificate number of naturalization/order of approval of reacquisition)
Date of Naturalization/
Month
Day
Year
CIVIL STATUS
Certificate No./Order of Approval
Reacquisition
PERIOD OF RESIDENCE
No. of Years
Widow/er
Married
Legally
Separated
No. of Years
No. of Months
In the City / Mun
Name of Spouse, if married
in the Philippines
PROFESSION / OCCUPATION
TIN
NAME OF FATHER
NAME OF MOTHER
Last
Last
First
First
Middle
Middle
Part 2
Single
ROLLED THUMBPRINTS / SPECIMEN SIGNATURES
OATH
I do solemnly swear that the above statements regarding my person are true and
correct; that I possess all the qualifications and none of the disqualification of a voter;
that I have no pending application for registration in any city/municipality.
DATE
Month
Day
Year
Signature of Applicant
Above Printed Name
Left Thumb
1.
EO / Administering Officer
Right Thumb
2.
3.
(Signature above Printed Name)
Part 3
ACTION BY THE ELECTION REGISTRATION BOARD
Month
Day
Year
Approved
Disapproved
Date
With precinct assignment No.
Reason for disapproval
Member
Chairman of the Board
Member
(Signature above Printed Name)
(Signature above Printed Name)
(Signature above Printed Name)
VOTER IDENTIFICATION NUMBER (To be filled out by Election Officer)
Part 4
CITY/MUN/
DISTRICT CODE
Prov Code
PRECINCT NO.
Month
Day
Year
DATE OF BIRTH
ACKNOWLEDGEMENT RECEIPT
Application for Registration
Last
Application No.
This is to acknowledge receipt of your Application for
registration. You are not yet registered unless approved by the
Election Registration Board (ERB). You need not appear in the
ERB hearing unless required through a written notice.
First
Middle
EO/Interviewer Signature above Printed Name
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CEF-1B
Republic of the Philippines
COMMISSION ON ELECTIONS
APPLICATION FOR TRANSFER/
TRANSFER WITH REACTIVATION
APPLICATION FOR TRANSFER OF REGISTRATION RECORD
DUE TO CHANGE OF RESIDENCE
within the same city/municipality/district
to another city/municipality/district
I, ______________________________________________________, Filipino, born on ______________,
First name/Middle name/Last name
month/day/year
a duly registered voter in Precinct No. _____________________ of Barangay ______________________________,
City/Municipality of _________________________, Province of _____________________, single/widow/er/legally
separated/married to _________________________________, do hereby apply for the transfer of my registration
record due to transfer of my residence to :
House No./Street.________________________________________________________________________________
Sitio_________________________________ Barangay:_________________________________________________
COPY FOR THE PROVINCIAL FILE
City/Municipality:__________________________________Province:_______________________________________
That I have resided in my new residence for ___ years and ___ months.
(To be filled out by applicant applying for transfer with reactivation.)
Further, I do hereby apply for the reactivation of my registration record which was deactivated due to (please
check appropriate box):
1. Sentence by final judgment to suffer imprisonment for not less than one (1) year;
2. Conviction, by final judgment, of any crime involving disloyalty to the duly constituted government, etc;
3. Declaration of insanity or incompetence by a competent authority;
4. Failure to vote in two (2) successive preceding regular elections;
5. Loss of Filipino Citizenship; or
6. Exclusion by a court order.
That said ground no longer exists, as evidenced by the attached certification/order of the court (in case of
1,2,3, 5 and 6).
IN WITNESS WHEREOF, I have hereunto affix my signature this ___ day of _____, 20___ at __________,
Province of ____________________________, Philippines.
(Signature above Printed Name)
SUBSCRIBED AND SWORN to before me on the above date.
EO/Chairman of the Election Registration Board
(Signature above Printed Name)
Notice to the applicant: Please accomplish the form at the back and have your biometric data i.e. your photograph, signature and fingerprints
captured digitally if: 1.) transfer is within the same city/municipality and you have not previously undergone validation procedure; or 2.) transfer is
to another city/municipality.
CEF-1B: COPY FOR THE PROVINCIAL FILE (BACK)
Downloaded from http://irehistro.comelec.gov.ph
Application No.
Precinct No.
Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
PERSONAL INFORMATION (To be filled out by Applicant)
Part 1
Name
Illiterate
Person with Disability
Assisted by:
Last
(Please fill-up Assistor's Oath)
First
Gender
Male
Middle
RESIDENCE/ADDRESS
Province
Female
Height
City/Municipality
Barangay
Weight
DATE OF BIRTH
Month
House No. / Street
Day
Year
PLACE OF BIRTH
CITIZENSHIP
By Birth
Naturalized
City/Mun
Reacquired
Province
(If naturalized/reacquired, state date of naturalization/reacquisition and Certificate number of naturalization/order of approval of reacquisition)
Date of Naturalization/
Month
Day
Year
CIVIL STATUS
Certificate No./Order of Approval
Reacquisition
PERIOD OF RESIDENCE
No. of Years
Widow/er
Married
Legally
Separated
No. of Years
No. of Months
In the City / Mun
Name of Spouse, if married
in the Philippines
PROFESSION / OCCUPATION
TIN
NAME OF FATHER
NAME OF MOTHER
Last
Last
First
First
Middle
Middle
Part 2
Single
ROLLED THUMBPRINTS / SPECIMEN SIGNATURES
OATH
I do solemnly swear that the above statements regarding my person are true and
correct; that I possess all the qualifications and none of the disqualification of a voter;
that I have no pending application for registration in any city/municipality.
DATE
Month
Day
Year
Signature of Applicant
Above Printed Name
Left Thumb
1.
EO / Administering Officer
Right Thumb
2.
3.
(Signature above Printed Name)
Part 3
ACTION BY THE ELECTION REGISTRATION BOARD
Month
Day
Year
Approved
Disapproved
Date
With precinct assignment No.
Reason for disapproval
Member
Chairman of the Board
Member
(Signature above Printed Name)
(Signature above Printed Name)
(Signature above Printed Name)
VOTER IDENTIFICATION NUMBER (To be filled out by Election Officer)
Part 4
CITY/MUN/
DISTRICT CODE
Prov Code
PRECINCT NO.
Month
Day
DATE OF BIRTH
Year
Downloaded from http://irehistro.comelec.gov.ph
CEF-1B
Republic of the Philippines
COMMISSION ON ELECTIONS
APPLICATION FOR TRANSFER/
TRANSFER WITH REACTIVATION
APPLICATION FOR TRANSFER OF REGISTRATION RECORD
DUE TO CHANGE OF RESIDENCE
within the same city/municipality/district
to another city/municipality/district
I, ______________________________________________________, Filipino, born on ______________,
First name/Middle name/Last name
month/day/year
a duly registered voter in Precinct No. _____________________ of Barangay ______________________________,
City/Municipality of _________________________, Province of _____________________, single/widow/er/legally
separated/married to _________________________________, do hereby apply for the transfer of my registration
record due to transfer of my residence to :
House No./Street.________________________________________________________________________________
Sitio_________________________________ Barangay:_________________________________________________
COPY FOR THE CENTRAL FILE
City/Municipality:__________________________________Province:_______________________________________
That I have resided in my new residence for ___ years and ___ months.
(To be filled out by applicant applying for transfer with reactivation.)
Further, I do hereby apply for the reactivation of my registration record which was deactivated due to (please
check appropriate box):
1. Sentence by final judgment to suffer imprisonment for not less than one (1) year;
2. Conviction, by final judgment, of any crime involving disloyalty to the duly constituted government, etc;
3. Declaration of insanity or incompetence by a competent authority;
4. Failure to vote in two (2) successive preceding regular elections;
5. Loss of Filipino Citizenship; or
6. Exclusion by a court order.
That said ground no longer exists, as evidenced by the attached certification/order of the court (in case of
1,2,3, 5 and 6).
IN WITNESS WHEREOF, I have hereunto affix my signature this ___ day of _____, 20___ at __________,
Province of ____________________________, Philippines.
(Signature above Printed Name)
SUBSCRIBED AND SWORN to before me on the above date.
EO/Chairman of the Election Registration Board
(Signature above Printed Name)
Notice to the applicant: Please accomplish the form at the back and have your biometric data i.e. your photograph, signature and fingerprints
captured digitally if: 1.) transfer is within the same city/municipality and you have not previously undergone validation procedure; or 2.) transfer is
to another city/municipality.
CEF-1B: COPY FOR THE CENTRAL FILE (BACK)
Downloaded from http://irehistro.comelec.gov.ph
Application No.
Precinct No.
Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
PERSONAL INFORMATION (To be filled out by Applicant)
Part 1
Name
Illiterate
Person with Disability
Assisted by:
Last
(Please fill-up Assistor's Oath)
First
Gender
Male
Middle
RESIDENCE/ADDRESS
Province
Female
Height
City/Municipality
Barangay
Weight
DATE OF BIRTH
Month
House No. / Street
Day
Year
PLACE OF BIRTH
CITIZENSHIP
By Birth
Naturalized
City/Mun
Reacquired
Province
(If naturalized/reacquired, state date of naturalization/reacquisition and Certificate number of naturalization/order of approval of reacquisition)
Date of Naturalization/
Month
Day
Year
CIVIL STATUS
Certificate No./Order of Approval
Reacquisition
PERIOD OF RESIDENCE
No. of Years
Widow/er
Married
Legally
Separated
No. of Years
No. of Months
In the City / Mun
Name of Spouse, if married
in the Philippines
PROFESSION / OCCUPATION
TIN
NAME OF FATHER
NAME OF MOTHER
Last
Last
First
First
Middle
Middle
Part 2
Single
ROLLED THUMBPRINTS / SPECIMEN SIGNATURES
OATH
I do solemnly swear that the above statements regarding my person are true and
correct; that I possess all the qualifications and none of the disqualification of a voter;
that I have no pending application for registration in any city/municipality.
DATE
Month
Day
Year
Signature of Applicant
Above Printed Name
Left Thumb
1.
EO / Administering Officer
Right Thumb
2.
3.
(Signature above Printed Name)
Part 3
ACTION BY THE ELECTION REGISTRATION BOARD
Month
Day
Year
Approved
Disapproved
Date
With precinct assignment No.
Reason for disapproval
Member
Chairman of the Board
Member
(Signature above Printed Name)
(Signature above Printed Name)
(Signature above Printed Name)
VOTER IDENTIFICATION NUMBER (To be filled out by Election Officer)
Part 4
CITY/MUN/
DISTRICT CODE
Prov Code
PRECINCT NO.
Month
Day
DATE OF BIRTH
Year
