MANILA TYTANA COLLEGES

STUDENT AFFAIRS AND SERVICES DIRECTORATE

S.A.S.D. DECLARATION FORM

____ I am an ACTIVE member of ____________________________ Fraternity/ Sorority Organization not recognized by

the College, and I will not pursue it in this school.

____ I was once a member but I am now an INACTIVE member of ____________________________ Fraternity/ Sorority
Organization not recognized by the College, and I will not pursue it in this school.

____ I am NOT a member of any fraternity, sorority, or organization before joining Manila Tytana Colleges (hereinafter
called the College), and I will not join, in my entire stay, any fraternity or organization in and outside of the
College.

If I violated the above provision, I agree that I will be immediately dismissed, excluded, or expelled from the College.

Are there any pending or decided administrative, civil, or criminal complaints filed against you involving sexual
misconduct, sexual harassment, inappropriate behavior, or analogous acts?

Yes: ____________________________________ Decision: _________________________________

(please indicate the charge/s)

No

Conforme:

________________________________ _______________________________________
Student’s Signature over Printed Name Parent/ Guardian’s Signature over Printed Name

________________________________ _______________________________________
Date Date