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Annex A

Republic of the Philippines

Polytechnic University of the Philippines


OFFICE OF THE VICE PRESIDENT FOR FINANCE

FUND RAISING ACTIVITY APPLICATION FORM


Application No.
Name of Project:
Date/Duration:
Requesting Organization:
College/Branch/Campus:
Name of Representative:
Address/Contact No.:
Objectives:

Received by:
Date Received:
AEcES Membership Fee & Other Miscellaneous Fees
First Semester
Association of Electronics Engineering Students
Taguig
Sharmaine Joy P. Yere
10 Albutra St. Western Bicutan, Taguig /09286650556
To be able to fund the following projects of the organization for the
members spiritual, social, athletic and academic well-being.

PROJECT ESTIMATES:
1. Estimate Income (provide extra sheet if necessary)
a. Number of tickets/items to be sold
b. Price per ticket/item
c. Total estimated tickets/items sales (a x b)
d. Other Income
e. Total estimated Income (c + d)

130 students
237.00
30,810.00
30,810.00

*Tickets are to be registered in the Internal Audit Office


2. Budgeted Expenses

EXPENDITURES
*Please see attached document

AMOUNT
Php

a. Total Budgeted Expenses

30,114.50

3. Total Estimated Proceeds (1e-2a)

695.50

4. Proceeds Utilization Plan (use extra sheet if necessary)


a. Will be added to the fund for the beautification of the FASTECH laboratory
b.
c.
d.
e.
f.
g.
5. List of officials/Coordinator (use extra sheet)
6. List of Participants (if necessary)
_ Sharmaine Joy P. Yere__
Garcia______
Treasurer / Representative

_______Gerald D.

President of Organization
RECOMMENDING APPROVAL

__Prof. Bernadette I. Canlas__


Adviser

__Prof. Sharon Joy F. Pelayo__


Dean/Director

Clearance on previous activity: (please put a check)


Cleared

Title of Previous Project: ________________________


School Year: _________________________________

Not Cleared

Remarks: ____________________________________
____________________________________
____________________________________

_______________________________
Director, Internal Audit Office
RECOMMENDING APPROVAL FUND RAISING BOARD

_____________________________
Vice President for Student Services
Member

__________________________________
Vice President for Academic Affairs/
Vice-President for Branches and Campuses
Member

_______________________________
Vice President for Administration
Member

______________________________
Vice President for Finance
Chairman

APPROVAL

______________________________
DR. EMANUEL C. DE GUZMAN
President
Note: Upon approval of the said project, please furnish the following offices a copy of this project:

1. Internal Audit office


2. VP Finance
3. Resource Generation Project
4. College/Branch/Campus

2nd Floor South Wing PUP A. Mabini Campus, Anonas Street, Sta. Mesa Manila
Phone: 713-6344; (Trunk Line) 716-7832 local 260/300; Website: www.pup.edu.ph

The Countrys 1st Polytechnic U

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