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Request For Extension of Vol. Assistance

This document is a request form for extending volunteer assistance from the Philippine National Volunteer Service Coordinating Agency. It provides information such as the name and address of the host organization, project title and location in Candelaria, Quezon. It lists the approved period of volunteer assistance as 3 years from July 2012 to June 2015. It includes the name of the previous volunteer, Edna C. Legaspi, and her sending organization and duration of assignment. The form requests a rationale for extension and attachments including a project accomplishment report and the volunteer's work plan for the duration of the extension. It requires signatures from the project supervisor and head of agency submitting the request.

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19 views

Request For Extension of Vol. Assistance

This document is a request form for extending volunteer assistance from the Philippine National Volunteer Service Coordinating Agency. It provides information such as the name and address of the host organization, project title and location in Candelaria, Quezon. It lists the approved period of volunteer assistance as 3 years from July 2012 to June 2015. It includes the name of the previous volunteer, Edna C. Legaspi, and her sending organization and duration of assignment. The form requests a rationale for extension and attachments including a project accomplishment report and the volunteer's work plan for the duration of the extension. It requires signatures from the project supervisor and head of agency submitting the request.

Uploaded by

iamoliver_31
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Form 10

Republic of the Philippines


National Economic & Development Authority

REQUEST FOR EXTENSION OF


VOLUNTEER ASSISTANCE
Reference No: ____________________

Philippine National Volunteer


Service Coordinating Agency
NEDA Sa Quezon City, EDSA, Diliman
Quezon City Telefax: 435-7999
Email Address: [email protected]
[email protected]

1. Name and Address of Host Organization:


2. Project Title Location:

Candelaria, Quezon

3. Approved Period of Volunteer Assistance:

3 years from 7/2/2012 to 6/30/2015

4. Volunteer/s Assigned:
Name of Previous Volunteer
Volunteer Sending Organization
Duration of Assignment
______________________ _______________________________ ___________________________
Edna C. Legaspi______ PNVSCA/Bethsaida CBR Serv. For Disabled Inc. 7/2/2012 12/31/2012___
______________________ _______________________________ ___________________________
5. Rationale for extension: (Please attach project accomplishment report and volunteers work plan for the
duration of extension requested )
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Prepared by:

Submitted by:

_________________________________________
Printed Name, Designation & Signature of
Project Supervisor

______________________________________
Printed Name, Designation & Signature of
Head of Agency

Date: ________________________________________
ACTION TAKEN BY PNVSCA (for PNVSCA use only)
Deferred due to (state reason) __________________________________________________________
__________________________________________________________________________________
Disapproved (state reason) ____________________________________________________________
__________________________________________________________________________________

ve Director
Approved/Endorsed for extension of volunteer assistance in the field of ______________________
for a period of ______________________
_______________________
Date
PNVSCA Request for Extension of Volunteer Assistance

JOSELITO C. DE VERA
Executive Director

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