Group Registration Form
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Group Registration Form Page 1 of 2
3rd STUDENT COUNCIL LEADERSHIP CONFERENCE
AN WARAY P
A
R
T
Y
L
I
S
Changing Ourselves to Change the World: Responding to the Challenge of a Global Ethic Leadership
T
Group Registration Form Please print or type legibly. Accomplish in triplicate. Do not leave any space blank.
ORGANIZATIONAL PROFILE OFFICIAL NAME COMPLETE MAILING ADDRESS
Name of School Street Municipality or City Province and Zip Code
PARTICULARS
Telephone Number Mobile Number Fax Number Email Address U R L Site Date Established Name of President Contact Number of President Address of President Name of Adviser Contact Number of Adviser Address of Adviser Number of Members
LIST OF OFFICERS Executive
President Vice President
Junior Officers
Secretary Treasurer Auditor Auditor Information Officer Peace Officer
Other Junior Officers
Committee Heads
Group Registration Form Page 2 of 2
Legislators
Other Officers
Use separate sheet if necessary
LIST OF OFFICIAL PARTICIPANTS PARTICIPANT NO. 1
Full Name of Officer Formal Title of Position Date Elected to Office Nature of Office
PARTICIPANT NO. 2
Elected
Appointed by _______________ Ex Officio
Elected
Appointed by _______________ Ex Officio
Elected
Appointed by _______________ Ex Officio
Full Name of Officer Formal Title of Position Date Elected to Office Nature of Office
PARTICIPANT NO. 3
Full Name of Officer Formal Title of Position Date Elected to Office Nature of Office
CERTIFICATION FROM THE SCHOOL HEAD This is to certify that all facts and statements made on this form are true and correct. Furthermore, this is to attest that the aforementioned students are the official representatives nominated by the Student Council of our college/ university to the Third Student Council Leadership Conference and that the said students are of good moral standing in our college/ university. _______________________________________ Signature over Printed Name of the School Head
_______________________________________ Designation/Position
_______________________________________ Date Signed
SCHOOL INFORMATION
Name of School Street City/ Municipality Province Postal Code Phone Fax Email
3rd STUDENT COUNCIL LEADERSHIP CONFERENCE
AN WARAY P
A
R
T
Y
L
I
S
Changing Ourselves to Change the World: Responding to the Challenge of a Global Ethic Leadership
T
Group Registration Form Please print or type legibly. Accomplish in triplicate. Do not leave any space blank.
ORGANIZATIONAL PROFILE OFFICIAL NAME COMPLETE MAILING ADDRESS
Name of School Street Municipality or City Province and Zip Code
PARTICULARS
Telephone Number Mobile Number Fax Number Email Address U R L Site Date Established Name of President Contact Number of President Address of President Name of Adviser Contact Number of Adviser Address of Adviser Number of Members
LIST OF OFFICERS Executive
President Vice President
Junior Officers
Secretary Treasurer Auditor Auditor Information Officer Peace Officer
Other Junior Officers
Committee Heads
Group Registration Form Page 2 of 2
Legislators
Other Officers
Use separate sheet if necessary
LIST OF OFFICIAL PARTICIPANTS PARTICIPANT NO. 1
Full Name of Officer Formal Title of Position Date Elected to Office Nature of Office
PARTICIPANT NO. 2
Elected
Appointed by _______________ Ex Officio
Elected
Appointed by _______________ Ex Officio
Elected
Appointed by _______________ Ex Officio
Full Name of Officer Formal Title of Position Date Elected to Office Nature of Office
PARTICIPANT NO. 3
Full Name of Officer Formal Title of Position Date Elected to Office Nature of Office
CERTIFICATION FROM THE SCHOOL HEAD This is to certify that all facts and statements made on this form are true and correct. Furthermore, this is to attest that the aforementioned students are the official representatives nominated by the Student Council of our college/ university to the Third Student Council Leadership Conference and that the said students are of good moral standing in our college/ university. _______________________________________ Signature over Printed Name of the School Head
_______________________________________ Designation/Position
_______________________________________ Date Signed
SCHOOL INFORMATION
Name of School Street City/ Municipality Province Postal Code Phone Fax Email
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