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| eS TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES | "8°
f Ayala Blvd., Ermita, Manila, 1000, Philippines iia a =
Sey Tel No, +632-201-3001 local 606 | Fax No. ¥632-521-4063 Revision No | 0 _|
= Email: osa@tup.edu ph | Website: wir tup.odu.ph aa aor
Pose 7
| VAA-OSA STUDENT ASSISTANT APPLICATION ae coor
School Year
Course:
1x1
LD. Picture
GENERAL INFORMATION
Name: -
(SURNAME) (GIVEN NAME) (MIDDLE NAME}
Permanent Address:
Present Address ~
Contact Nos. Age Brees Sex
Civil Status: Height Weight Religion
FB Acct _
Skil:
Father Mother
(Guardian) (Guarcian)
Name =
Address
Contact No. _ _ -
Occupation
Business Address =
Contact No.
Monthly Income
Write in the space provided the reasons why you are interested to apply as Student Assistant.
hereby certify that all of the above-mentioned data are true and correct.
Applicant's Signature over Printed Name Date
[Fansaction 1D
Signature |FOSA6.5aSAS
0
TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES |.!"%°"°.
‘Ayala Blvd, Ermita, Manila, 1000, Philippines Issue Na
Tel No. +632-301-3001 local 606 | Fax No, +632-521-4063
| Revision No. | 00
Email: osa@tup.edu ph | Website: www.tup.edu.ph ment |
‘ Pag ETE
STUDENT ASSISTANT’S SCHEDULE cae co-a7ai207
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6:00PM - 7:00 PM
ToTaLNo.oFHouRs: |_|
“See note 1&2
‘Signature over Printed Name
NOTE:
1. Please indicate your availability,
‘as Student Assistant by shading the corresponding time on the table
‘above. Service to be rendere
#4 MUST be at least 2 hours (minimum) to 4 hours (maximum) per day.
2. Attach a photocopy of your Registration Form.
Transaction 1D
ignature