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Ropubilc of the Philippines
FUOAO STATE UNIVERSITY
Lamuf. Nbpao
^epartment of i^tubent ^>erPttes! & ^ebelopment
Potia Campus
ACTIVITY PERMIT
Date:
equesting Organization:
ature of Activity:
bjectives of the Activity:
artici pants:
Date/s of Activity Venue Time
equested by: Position: _
Date:
Organization Adviser
ndorsed by: Date:
Campus Student Supreme Government
ecommending Approval:
PEER SEAN M. BALAO MATRONILLO M. MARTIN.EdD.
ection Chief, Student Organization and Activities DSSD Director/ Coordinator
As to Financial Obligation:
ERIC C. BIMMOY HAYDEE P. FESTIKEN
Chairperson for General Services Accounting Officer
Approved:
NELSON S. LATAP. PhD.
Campus Administrator
DSSD, Office of the Security S Safety Services
•portant condition Submit report of the activity to the DSSD within Fifteen (15) days after the activity.
SU-VPAA-DSSD-F026
ev. 00(Feb. 04, 2019)
