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FM ODS 21 Student Oraganization Officers Data - v0 02 11 2022

This document contains a form for student organization officers to provide their personal data and academic performance to the Dean of Students Office. The officer agrees to allow their personal data to be collected, used, and stored for the purposes of accrediting the organization and communicating about organization activities. The form collects the officer's name, course/year of study, organization name and position, contact details, grades from previous terms and current enrolled subjects. It certifies the officer's acceptance and commitment to their elected/appointed position for the current school year.

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mikeful miralles
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42 views1 page

FM ODS 21 Student Oraganization Officers Data - v0 02 11 2022

This document contains a form for student organization officers to provide their personal data and academic performance to the Dean of Students Office. The officer agrees to allow their personal data to be collected, used, and stored for the purposes of accrediting the organization and communicating about organization activities. The form collects the officer's name, course/year of study, organization name and position, contact details, grades from previous terms and current enrolled subjects. It certifies the officer's acceptance and commitment to their elected/appointed position for the current school year.

Uploaded by

mikeful miralles
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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DEAN OF STUDENTS OFFICE

Visca, Baybay City, Leyte, PHILIPPINES


Tel No.: 053 565 0600 (loc 1070)
Telefax: +63 53 563 7067
Email: [email protected]
Website: www.vsu.edu.ph

STUDENT ORGANIZATION OFFICER’S PERSONAL DATA

I have read this form and understand its content and give my voluntary consent for the
collection, use, processing, storage and retention of my personal data to the Student Development
Services (SDSO) and agree that SDSO may process personal data relating to me for the purpose of
accreditation of the organization and/or sending communication and information of organization-related
functions/activities. I understand that when this information is no longer required, official university
procedure will be followed to dispose my data.

Name & Signature

Name _______________________________________________Course & Year _________________________


Last Name First Name Middle Name
Organization_____________________ Position________________________ SY______________________
Email Address: Contact Number _____

ACADEMIC PERFORMANCE

Grades: Previous Term Subjects enrolled this term


Subject Grade Unit Subject Unit
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
_____________________ ________ _______ ________________________ ________
Total No. of Units ________

THIS CERTIFIES my acceptance and commitment as duly elected/appointed __________________________ of


the _________________________________________________________ for the school year ______________
effective this __________ day of _____________ 20 ______.

__________________________________
Signature over Printed Name of Officer

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Vision: A globally competitive university for science, technology, and environmental conservation.
FM-ODS-21
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative v0 02-11-2022
technologies for sustainable communities and environment.
No.

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