Organization Officer'S Information Sheet: 1x1 ID Picture

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Student

Organizations

Recognition

Requirements

Annex A-1
Organization

O ffi

cers

Information Sheet
AY 2015- 2016

ORGANIZATION OFFICER'S
INFORMATION SHEET

1x1
ID
PICTURE

Academic Year 2016-2017

NAME OF ORGANIZATION ___UST MOUNTAINEERING CLUB_______


SURNAME

FIRST NAME

MIDDLE NAME

SEX
[

POSITION IN THE ORG

] Male

[
]
Female
COLLEGE/FACULT
Y
COURSE & SEC.

NICKNAME

CONTACT NUMBER / S

RELIGION

CITIZENSHIP

Residence #

DATE OF BIRTH

PLACE OF BIRTH

Mobile #

Home Address

E-Mail

Provincial Address

Facebook

FATHER'S NAME

MOTHER'S NAME

EDUCATIONAL BACKGROUND
Educational
Attainment

Name and Location of Institution

Degree Earned

Year of
Graduation

Elementary
Highschoo
l
College
Special
Training
RECORD OF EXTRA-CURRICULAR ACTIVITIES (Inside and Outside of the University)
Name of Organization
Position

Honors Received

Inclusive dates

ACADEMIC ACHIEVEMENTS (Please enumerate)

AWARDS RECEIVED IN HIGH SCHOOL AND COLLEGE (Please enumerate)

SPECIAL SKILLS

To the best of my knowledge, the above-stated information are true and correct.
___________________________________________
SIGNATURE
UST:S030-00-FO20

Student

Organizations

Recognition

Requirements

Annex A-2
Organization

O ffi

cers

Information Sheet
AY 2015- 2016

UST:S030-00-FO20

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