C.E. Form No.
A35
MAY 12, 2025
NATIONAL, LOCAL AND BARMM ELECTIONS
CERTIFICATE OF CHALLENGE/PROTEST AND
DECISION OF THE ELECTORAL BOARD
INSTRUCTIONS:
PREPARE IN FOUR (4) COPIES. The First Copy to the member of the Board, the Second Copy to the
individual against whom the challenge or protest is made, the Third Copy to the voter or watcher making
challenge or protest and the Fourth Copy shall be retained by the Board.
Clustered Precinct No.: _______________________ District:
_________________________
Barangay: _________________________________ Province:
_________________________
City/Municipality: _________________________________ Region:
________________________
We hereby certify that on _____________________________________________________ 2025
_______________________________________________, of
___________________________________________.
(Name of Challenger/Protestant) (Address)
MADE THE FOLLOWING CHALLENGE/PROTEST (Please state name of individual against
whom the challenge/protest is made and the nature or ground for challenge/protest)
_____________________________________________________________________________________
______________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________
_____________________________________________________________________________________
______________
The Board, after considering the evidence presented to it, DECIDED as follows:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________
_____________________________________________________________________________________
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____________________________
IN WITNESS WHEREOF, we hereby sign this certificate this _________ day of _________ 2025.
_________________________
CHAIRPERSON
(Signature Over Printed Name)
_________________________ _________________________
POLL CLERK THIRD MEMBER
(Signature Over Printed Name) (Signature Over Printed Name)
_________________________
WATCHER
(Signature Over Printed Name)