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CLSU.ACA.OSA.SHU.F.001
Republic of the PhilippinesCENTRAL LUZON STATE UNIVERSITY
Science City of Muñoz, Nueva Ecija
OFFICE OF STUDENT AFFAIRS
Student Organizations Unit
DIRECTORY OF STUDENT ORGANIZATION PRESIDENT
______ Semester, SY 20___ - 20___
________________________________________
Name of Organization
(2”x 2” picture2x2 picture)
CONFIDENTIAL
Name
Course/Yr.
Age
Sex
Religion
Nationality
Birthdate
Birthplace
Present Address
Home Address
Street Barangay Municipality/City Province
Parents/Guardian
Last Name First Name Middle/Maiden Name
Name of Father:
Name of Mother:
Source of Financial Support
Talents/Skills
Cellphone no./Contact no.
CLASS SCHEDULE
Subject
Place/Room
Time
Day
______________________________
Signature over Printed Name
Date and Semester Filed: _____________
ACA.OSA.SOU.F.001
ACA.OSA.SOU.F.002 (Revision No. 0; August 31, 2016)