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Culture Documents
Activity Permit
Activity Permit
ACTIVITY PERMIT
President/09752673206 ______________________
Position/Contact Number Date
RHENMAR M. GALVEZ, MPA LALAINE M. GELLA, MAED, RGC KAREN E. CABALQUINTO, PHD
SODO Coordinator Director, Office of the Student Services Dean, ITEIT
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REQUEST FOR APPROVAL FOR FACILITIES AND SERVICES
Facilities/Services: Approving Office Name and Signature of
Approving Office
( ) Sound System/Lightening Effects __________________ _______________
( ) AVR __________________ _______________
( ) Sports Equipment __________________ _______________
( ) Laboratory Equipment __________________ _______________
( ) Library Facilities __________________ _______________
( ) Conference Room __________________ ________________
( ) Others : Specify __________________ ________________
Affected Classes:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Date: _________________Time/Duration of the Activity:_________________
Approved by:
_____________________________
Campus Director