04 organization officer

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Student Organizations Recognition Requirements Annex A-  1 Organization Officer’s Information Sheet  ORGANIZATION OFFICER'S INFORMATION SHEET 1x1 Academic Year 2012-2013 ID PICTURE NAME OF ORGANIZA TION ______________________________________ SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG [ ] Male [ ] Female NICKNAME FOR THE ID COURSE & SEC. CONTACT NUMBER / S RELIGION CITIZENSHIP Residence # DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile # ADDRESS E-mail Address & FaceBook Account Home Address E-Mail Provincial Address Facebook FATHER'S NAME MOTHER'S NAMES EDUCATION Educational  Attainment Name and Location of Institution Degree Earned Year of Graduation Honors Received Elementary Seconday College Special Training RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University) Name of Organization Position Inclusive dates ACADEMIC ACHIEVEMENTS (Please enumerate) OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate) SPECIAL SKILLS To the best of my knowledge, the above facts as stated are true and correct.

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8/2/2019 04 Organization Officer

http://slidepdf.com/reader/full/04-organization-officer 1/14

S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  1

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

SIGNATURE

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  2

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

SIGNATURE

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  3

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION _____ROTARACT CLUB –

UST AMV COA UNIT_____ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

DEL ROSARIO GIO CELINONAVARRO

[ X ] Male VICE PRESIDENT-EXTERNAL

[ ] Female

NICKNAMEFOR THE ID

GIO COURSE & SEC. ACCOUNTANCY, 3A2 CONTACT NUMBER / S

RELIGIONROMAN

CATHOLIC CITIZENSHIPFILIPINO

Residence # (02) 354 1771

DATE OF BIRTH 10-03-1992 PLACE OF BIRTH TARLAC CITY Mobile # 09156980151

ADDRESS E-mail Address & FaceBook Account

Home Address 1256 T. SAN LUIS STREET, PANDACAN, MANILA E-Mail [email protected]

Provincial Address 314 SEVILLA NORTE, QUEZON AVENUE, SAN FERNANDO CITY,LA UNION

Facebook www.facebook.com/giocelino

FATHER'S NAME CHARLIE APOLINARIO A. DEL ROSARIO MOTHER'S NAMES MARIE FEL G. NAVARRO  –DEL ROSARIO

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary CHRIST THE KINE COLLEGE, LA UNION DIPLOMA 2005 OUTSTANDING 

Seconday CHRIST THE KING COLLEGE, LA UNION DIPLOMA 2009 OUTSTANDING

College UNIVERSITY OF SANTO TOMAS, MANILA

Special Training N/A

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive datesROTARACT CLUB –AMV UNIT PROTEGE 2011-2012

ACCOUNTANCY JOURNAL TRAINEE 2009-2010

BUKAL PUBLICATION ORG ASSOCIATE EDITOR 2008-2009

TIMEK PUBLIC SPEAKING ORG FACILITATOR 2008-2009

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

CIP AWARD FOR JOURNALISM

CIP AWARD FOR PUBLIC SPEAKINGLOYALTY AWARD

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ SIGNATURE

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  4

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________  Asst secretary

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  5

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  6

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  7

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  8

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

http://slidepdf.com/reader/full/04-organization-officer 9/14

S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  9

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  10

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

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S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  11

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

http://slidepdf.com/reader/full/04-organization-officer 12/14

S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  12

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

http://slidepdf.com/reader/full/04-organization-officer 13/14

S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  13

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE

ORGANIZATION OFFICER'S INFORMATION SHEET 1x1

Academic Year 2012-2013  ID

PICTURE

NAME OF ORGANIZATION ______________________________________ 

SURNAME FIRST NAME MIDDLE NAME SEX POSITION IN THE ORG

[ ] Male

[ ] Female

NICKNAMEFOR THE ID

COURSE & SEC. CONTACT NUMBER / S

RELIGION CITIZENSHIP Residence #

DATE OF BIRTH mm - dd - yyyy PLACE OF BIRTH Mobile #

ADDRESS E-mail Address & FaceBook Account

Home Address E-Mail

Provincial Address Facebook

FATHER'S NAME MOTHER'S NAMES

EDUCATION

Educational  Attainment Name and Location of Institution Degree Earned 

Year of Graduation Honors Received 

Elementary

Seconday

College

Special Training

RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)

Name of Organization Position Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

OTHER AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above facts as stated are true and correct.

 ___________________________________________ 

8/2/2019 04 Organization Officer

http://slidepdf.com/reader/full/04-organization-officer 14/14

S t u d e n t O r g a n i z a t i o n s R e c o g n i t i o n R e q u i r e m e n t s

A n n e x A -  14

O r g a n i z a t i o n O f f i c e r ’ s I n f o r m a t i o n S h e e t  

OR:08-00-FO20 

SIGNATURE