DEAN OF STUDENTS OFFICE

Visca, Baybay City, Leyte, PHILIPPINES

Tel No.: 053 565 0600 (loc 1070)
Telefax: +63 53 563 7067
Email: usso@vsu.edu.ph
Website: www.vsu.edu.ph

ACTIVITY PERMIT

INSTRUCTIONS:
1. Accomplish this form in four (4) copies and submit to the Head, Student Development Services at
least one day (24 hours) before the scheduled activity;
2. Attach financial/budget allocation for any income generating projects and/or activities which require
monetary contributions from members;
3. Attach Parental Consent, Adviser’s and Venue/Community Commitment and other documentary
requirement for off-campus activities; and
4. In case of postponement, cancellation, or change of schedule of the approved activity; the Student
Development Services Office must be informed immediately.
=================================================================================
Lakas-Angkan Youth Fellowship
ORGANIZATION:_______________________________________________________________________
NAME OF ACTIVITY: Youth Fellowship: Lost But Found
NATURE OF ACTIVITY: _________________________________________________________________
Religious
(socials, educational, work/service, religious, sports/contest, organization development, fund raising, etc.)
PURPOSE(S):_________________________________________________________________________
To enable the students to know Christ, worship in corporate settings, and to encourage them to engage into fellowships.
NO. OF MEMBERS INVOLVED: 30 CONTRIBUTION (if any): P ____ NA (attached budget allocation)
DATE/S: ________________________________ TIME (from – to) _______________________________
14 November 2023 6:00 - 8:00 pm
CCE (Center for Continuing Education)
PLACE/VENUE:________________________________________________________________________

Requested by:

_____________________________
Jeff Buenavente
Organization President
NOTED BY: (Name and Signature of Advisers)

______________________________
a) _________________________
Loregin S. Pugosa Committee/Coll./Dept. In-charge

b) _________________________
Jess G. Tahanlangit ______________________________
Bldg./Activity Area In-Charge
=================================================================================
This portion is for ODS

Recommending Approval:

CHRISTIE CYRENE T. TAUY

Head, Student Development Services Office
Date:________________
Remarks:
_____________________________________
_____________________________________
_____________________________________
[ ] Approved [ ] Disapproved

CHONA A. BRIT
OIC, Dean of Students

Distribution of copies: 1-DSO, 2-Student Organization, 3-Security,

4-Building/Committee/Venue/Community In-charge where activity is to be conducted

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Vision: A globally competitive university for science, technology, and environmental conservation.
FM-ODS-25
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative v0 02-11-2022
technologies for sustainable communities and environment.
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