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OFFICE OF STUDENT ACTIVITIES

Vinzons Hall Annex, UP Diliman, QC

COLLEGE/ UP UNIT ACTIVITY REQUEST FORM
College/ Unit Date of filing:

Title of Activity Date of Activity:

Brief Description of the Activity

REQUEST/S Designated Area/s Inclusive Time & Date

Posting of Streamers
& Posters

Police Assistance

Use of University Facilities

Othe Requests

Student in‐charge Noted by: Faculty in‐charge
Name: Name:

Student #: Class:
Contact #: Unit/College:
Signature Signature

Noted by: College Secretary Noted by: Office of Student Activities

College  Secretary Coordinator


Recommending Approval: Approval:

__________________: VC for Community Affairs
_________ _____________________
Vice Chancellor for Student Affairs __________________: Dean, ______________________

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