NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY

OFFICE OF STUDENT AFFAIRS

OFFICE OF STUDENT ORGANIZATION, ACTIVITIES, AND DEVELOPMENT

LIST OF MEMBERS
A.Y. ______________

________________________________________________________________________
(Name of Organization)

Name Course/Yea Position in Signature

r/Section the
Organization
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.

Noted:
*attach additional sheet if necessary

Prepared by:
_____________________________
Adviser
(Signature Over
________________________________Printed Name)
Student Organization President
(Signature Over Printed Name)

Coordinator, Office of Student

Organization, Activities and
Development
(Signature Over Printed Name)
NEUST-OSA-F029
Revision No.00 ( )