Technological University of the Philippines

Manila

Personal Data Sheet for ACSO Officers

University Scholars Association of the Philippines _

(Name of accredited student organization)

Director of Media and Publication_

(Position)

Name: Dela Cruz, Charles Kevin A. Nickname: CK _

Course: BSME Year&Sec. 2C College: College of Engineering _

Present Address: 216 Cesa St., Sitio Postema, Sahud-Ulan, Tanza, Cavite _
Tel. No.: N/A_ Birthday: September 6, 1999 Birthplace: Ermita, Manila _
Father’s Name: Ronaldo C. Dela Cruz Occupation: Government Employee
Mother’s Name: Imelda A. Dela Cruz Occupation: Housewife _
Guardian: Imelda A. Dela Cruz Address: Tanza, Cavite _
Brothers and Sisters studying at TUP: (indicate course and year)
______________________________ __________________________
______________________________ __________________________

Educational Background
School Year Graduated
Elementary Bienvenido R. Fojas Memorial Elem. School 2012 _
High School Our Lady of the Holy Rosary School 2018 _
College ___________________________ _____________

Memberships and Organizations

Organization Position Year
________________________ __________________ __________

________________________ __________________ __________

________________________ __________________ __________

Awards/Honors Received Year

______________________________________ _____________

______________________________________ _____________

______________________________________ _____________

Charles Kevin A. Dela Cruz _

(Signature over printed name
 Republic of the Philippines
TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES
Manila

OATH OF OFFICE

I, Charles Kevin A. Dela Cruz , presently residing at

(name)
216 Cesa St., Sitio Postema, Sahud-Ulan, Tanza, Cavite ,
(address)
elected/appointed as Director of Media and Publication of the
(position)
University Scholars Association of the Philippines , do solemnly swear to
(name of club/organization)

faithfully and diligently fulfill the duties and responsibilities vested in me by

the Technological University of the Philippines to the best of my

ability and to abide by the Constitution and By Laws of my club/organization,

follow the rules and regulations of the university and serve as a model to

the studentry of the TUP and the youth of our land.

So help me, God.

Charles Kevin A. Dela Cruz _

(Signature over printed name)

Residence Certificate No. :

___________________
Issued at : _______________________

Subscribed and sworn to before me this 30th day of August ,

2019, Philippines.

________________________
(Administering Officer)