Republic of the Philippines
COMMISSION ON ELECTIONS
May 12, 2025
NATIONAL AND LOCAL ELECTIONS
CERTIFICATE OF CHALLENGE/PROTEST AND
DECISION OF THE BOARD
Precinct No: __________________ Barangay:
___________________
Clustered Precinct No: __________________ Region: Region 10
We hereby certify that on May 12, 2025, __________________________________________
(Name of challenger)
Of ______________________________________________________________________
(Address)
MADE THE FOLLOWING CHALLENGE/PROTEST:
(Please state the name of the individual against whom the challenge/protest is made and
the nature or ground for the challenge or protest)
POLL WATCHER/VOTER COMMITTED A VIOLATION OF COMELEC RESOLUTION
11076 AND OTHER RELEVANT LAWS.
Name of Voter/Person: ______________________________________________________
Illegal Act (s):
Entered the space/area not reserved/intended for poll watchers
Talked with voters/Electoral Board/poll watchers
Unauthorized access of ACM
Fed the ballot of another to the ACM
Helped look for the voter’s name inside the polling precinct
Received/viewed the VVPAT (vote receipt) of another voter
Prepared the ballot of a voter or assisted a voter who is not a
PWD/Illiterate/Senior
Citizen
Assisted a PWD/Illiterate/Senior Citizen but is not allowed to assist
Reason (s): Under age Assisted more than three (3) times
Not a relative within the 4 th civil degree of consanguinity or
affinity
Not the same household nor a relative within the 4 th civil
degree
Inspect poll lists inside the polling precinct
Interfere with any voter in preparing or casting voter’s ballot
Wear campaign material of any kind during the performance of his or her
duties
Possess electronic devices when they are inside the polling precinct
Others: ______________________________________________________
The Board, after considering the evidence presented to it, DECIDED as follows:
__________________________________________________________________________________________
__________________________________________________________________________________________
IN WITNESS WHEREOF, we hereby sign this certificate this 12th day of May 2025.
_________________________________
Chairperson
(Signature over printed name)
_____________________________________ ______________________________________
Witness Witness