Student Affairs and Welfare Office

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RECOGNITION FOR STUDENT ORGANIZATION Document No.

USA-SAW-F07
APPLICATION FORM V
AY 20 ___ - 20 ___
Revision No. 0
QUALIFICATIONS OF ADVISER

STUDENT AFFAIRS AND WELFARE OFFICE Date of Effectivity January 28, 2016
UNIVERSITY OF SAN AGUSTIN Issued by SAW
ILOILO CITY Page No. Page 5 of 6

Name of Organization: ______________________________


Category: _________________________________________
College/Department: ________________________________
Semester/Summer: _________________________________
Academic Year: ____________________________________

YEARS OF OTHER
ORGANIZATION ADVISER/S FULL TIME/ COLLEGE/ QUALIFICATIONS SERVICE IN ORGANIZATION REMARKS
REGULAR DEPARTMENT THE UNIVERSITY HANDLED (IF ANY)
FACULTY

Printed Name & Signature: _________________________________ ____________________________________ ________________________________


President, Student Organization Adviser Adviser
Printed Name & Signature: _________________________________ ____________________________________
Head/Chairman/Coordinator Dean/Principal

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