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Student-Org.-Activity-Clearance-Permit-Form

The document is a Student Organization Activity Clearance/Permit Form for the University of Cebu, detailing the requirements for student organizations to obtain permission for activities. It includes sections for organization information, activity objectives, event details, and endorsements from faculty and administration. The form also specifies the distribution of copies to relevant offices.

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michaellselgas
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7 views

Student-Org.-Activity-Clearance-Permit-Form

The document is a Student Organization Activity Clearance/Permit Form for the University of Cebu, detailing the requirements for student organizations to obtain permission for activities. It includes sections for organization information, activity objectives, event details, and endorsements from faculty and administration. The form also specifies the distribution of copies to relevant offices.

Uploaded by

michaellselgas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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UNIVERSITY OF CEBU

Cebu City
Date ______________

STUDENT ORGANIZATION ACTIVITY CLEARANCE/PERMIT FORM

__ 1ST Semester S.Y. ___ Organization Category: ____ Co-curricular l ___ Extra-Curricular _______
__ 2nd Semester S.Y. ___ Classification: Socio-civic ____ Cultural ____ Service Club ___ Religious
____
__ Summer S.Y._____ Athletics _____ Political ____
Name of Organization: _______________________________________________________________________
Objective of Activity : ________________________________________________________________________
Activity title : ______________________________________________________________________________
l Date / Time l Participants l Event Organizer l Resource Needed l Venue

l l l l l
l l l l l
l ___________ l ______________ l ________________________ l _____________________ l _______________
By: Endorsed by:
___________________________ ` _____________________ l _______________________
Organization Representative Faculty-Adviser Dean
= = = = = == = = = = = = = = = = = = = == = = = = = = = = = = = = = = = = = = = = == = = =
For SAO Use Only REMARKS : ________________________________
Recommending approval: ________________________________

Students Affairs Office: MR. PEDRO O. QUIÑAL JR.,LPT,MST-ELL [ ] Approved [ ]


Disapproved
Student Affairs Office, Director

Civil Security Unit: MR. EDGAR OMAC_ DR. YOLANDA C.


SAYSON____
CSU, Head Vice Chancellor for Academic Affairs
/CAD

Safety Officer: MR. EDMUND BENEDICT ILLUT


Safety Officer
Distribution : 1 copy – Organization / 1 copy-CSU/2copies-SAO

UNIVERSITY OF CEBU
Cebu City
Date ______________

STUDENT ORGANIZATION ACTIVITY CLEARANCE/PERMIT FORM

__ 1ST Semester S.Y. ___ Organization Category: ____ Co-curricular l ___ Extra-Curricular _________
__ 2nd Semester S.Y. ___ Classification: Socio-civic ____ Cultural ____ Service Club ___ Religious
____
__ Summer S.Y. _____ Athletics _____ Political ____

Name of Organization: _______________________________________________________________________


Objective of Activity : ________________________________________________________________________
Activity title : ______________________________________________________________________________
l Date / Time l Participants l Event Organizer l Resource Needed l Venue
l l l l l
l l l l l
l ___________ l ______________ l ________________________ l _____________________ l _______________
By: Endorsed by:
___________________________ ______________________ l ______________________
Organization Representative Faculty-Adviser Dean
= = = = = == = = = = = = = = = = = = = == = = = = = = = = = = = = = = = = = = = = == = = =
For SAO Use Only REMARKS : ________________________________
________________________________
Recommending approval: ________________________________

Students Affairs Office: MR. PEDRO O. QUIÑAL JR.,LPT,MST-ELL [ ] Approved [ ]


Disapproved
Civil Security Unit: MR. EDGAR OMAC_ DR. YOLANDA C.
SAYSON____
CSU, Head Vice Chancellor for Academic
Affairs /CAD

Safety Officer: MR. EDMUND BENEDICT ILLUT


Safety Officer
Distribution : 1 copy – Organization / 1 copy-CSU/2copies-SAO

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