ACTIVITY APPROVAL FORM (A - FORM)

Requesting Organization : Title of the Activity: Nature of Activity:

Academic Related Exhibits Issue Advocacy and Social Consciousness Meetings/General Assembly Sport/Tournaments Seminar / Talks / Fora / Symposia Collaboration with outside Organization Contests/Competitions Fundraising Media Related (Concert, Radio/TV Pluggings, Etc.) Off-Campus/Socio-Civic Outreach Activity Others: _______________

Requesting Organization: Title of the Activity: Date and Time: Status of Proposal: Pending Denied

Concerns:

For Recommendation

Please see me ASAP By: Ceery Ann E. Buligan Student Affairs Assistant ___/___/___ Date _________ Time

Brief Description

Activity Date: Venue: Expected Number of Parcicipants: Reach of Activity: College Wide Batch Wide Approved in the Calendar of Activities: Submitted By: Signature of Project Head Over Printed Name

Time:

from

to

Organization Wide Others: ____________ Yes No

Remarks:

Recommended by: by: Recommended Emelita I. Javier Dr. Emelita I. Javier VP for Student Affairs VP for Student Affairs

Noted by: Noted by: Atty.Katrina Anna Katrina V. Cruz Atty. Anna V. Cruz VP for Administrative Affairs VP for Administrative Affairs

Position in the Organization

Date

Time

Approved Approved by: by:

TENTATIVE RESERVATION Date Time: Venue: Request facilitated by: Mr. CHARLIE GARCIA Signature Over Printed Name ___/___/___ Date _________ Time
Attendance from Log Sheet Activity Report

Engr. Engr. Jose Jose Eduardo S. Valdez Eduardo S. Valdez College College President & COO President & COO
Post Activity Requirement (PAR)
Actual Financial Statement Others

DUE DATE:

Noted by:

Received by OSA ____/____/____ ______ H

Faculty Adviser Signature Over Printed Name Faculty Adviser Signature Over Printed Name Course Chairperson Signature Over Printed Name

Released by OSA ____/____/____ ______ H

OSA Form No. 11-001

OFFICE OF STUDENT AFFAIRS

IN / OFF CAMPUS ACTIVITY FORM

ORGANIZATION: TITLE OF ACTIVITY: NATURE OF ACTIVITY: VENUE / ADDRESS: CONTACT PERSON: OBJECTIVES:
Contact No.

EXPECTED NUMBER OF PARTICIPANTS:

TIME OF DEPARTURE FROM PATTS:

EXPECTED TIME OF ARRIVAL:

INVITED SPEAKER(S) 1

FACULTY ADVISER(S):

NAME OF ORGANIZERS

POSITION

CONTACT NUMBER

ATTACHMENTS: (Please Check) OSA Form No. 11-001 Activity Design List of Participants

Others:

Project Head / Organizaer

President of the Organization

Noted by:

Organization's Adviser

Organization's Adviser

Course Chairperson

Approved by:

Dr. Emelita I. Javier VP for Student Affairs

OSA Form No. 11-002

OFFICE OF STUDENT AFFAIRS

CONFORME FORM
We, the Organizer/s and the Faculty Adviser/s of are willing and available to attend the on at

We have read and fully understood the extent of our roles and responsibilities and commit ourselves to follow these for the whole duration of the activity: 1. Ensure the safety and well-being of the participants by providing and implementing the ground rules for the activity. 2. Impement the rules and regulations set forth by the College regarding off-campus activities such as no gambling, no drugs, no liquors, etc. 3. Guide the participants in various activities and advise them accordingly; 4. Will not allow swimming by the participants in the sea, rivers, lakes or the like; 5. Prohibit visiting other places except those indicated in the itinerary; 6. Prohibit illegal activities that would ruin the name of the College; 7. Will not allow anybody or unauthorized persons / students (especially those without waivers) to join the activity. 8. Signify our presence at the place and entire duration of the activity; and 9. Commit to report promptly the day before and/or after the activity. Full name Authorized Org's Representative Authorized Org's Representative Authorized Org's Representative Faculty Adviser Faculty Adviser Signature Date/time of Signing Cell Phone Number

Organization's Adviser

Organization's Adviser

Chairperson

Noted by:

Dr. Emelita I. Javier VP for Student Affairs We Concur:

Official Travel Agency (If Any)

OSA Form No. 11-003

Dear Parents / Guardians: We, be having a This is intended for which will cover would like to inform you that we will on . Participants are required to pay Php.
food, transportation and accomodation

Chairperson / Adviser

WAIVER / PARENTAL CONSENT

Gentlemen: As the parent/guardian of , I allow him / her to join and participate in: Department / Unit Sponsoring Activity: Nature of Activity: Date of Activity: Place of Activity: Time of Activity: Faculty Adviser: with ID number

___ / ___

Together with my child, I know that or PATTS College of Aeronautics and its officers, faculty advisers and chairperson are expected to exercise the legal diligence required for the safety and well-being of my child for the duration and place, date and time of the activity as stated. This legal diligence would include oral or written instructions whether given before or during the activity, that if followed, would ensure the safety of my child. If my child disregards or fails to follow these instructions or should act on his/her own will, I, together with my child, shall have no claims against or the PATTS College of Aeronautics, its officers, chairpersons, faculty, adviser(s), staff-in-charge should any damage be caused or liability be incurred to property or person. Very truly yours,
Contact Detail/s:
Parent/Guardian (Signature Over Printed Name) Date Time

Mobile:_____________ Landline:___________ Mobile:_____________ Landline:___________

Contact Detail/s:
Student (Signature Over Printed Name) Date Time

Note: Organizers and Advisers / Chairperson are assuring Management that the waivers are signed personally by the parent / guardian of the student / participants

Noted by:

Project Head

President of the Organization

Organization's Adviser

Organization's Adviser

Organization's Chairperson

OSA Form No. 11-004

ESTIMATED ACTIVITY FINANCIAL REPORT

Date TO: THE OFFICE OF STUDENT AFFAIRS PATTS COLLEGE OFAERONAUTICS NAME OF ORGANIZATION TITLE OF ACTIVITY SCHEDULE OF ACTIVITY Sources of Funds: Php : : :

TOTAL OF FUNDS Estimated EXPENSES

Php

Estimated Total EXPENSES Estimated NET INCOME / (Net Loss)

Submitted by:

Validated by:

Organization's Treasurer

Organization's President

Noted by:

Recommended by:

Organization's Adviser

Ceery Ann E. Buligan Student Affairs Assistant

Remarks: Organization's Adviser

Course Chairperson

Approved by:

Dr. Emelita I. Javier VP for Student Affairs

OSA Form No. 11-005

ACTUAL ACTIVITY FINANCIAL REPORT

Date TO: THE OFFICE OF STUDENT AFFAIRS PATTS COLLEGE OFAERONAUTICS NAME OF ORGANIZATION TITLE OF ACTIVITY SCHEDULE OF ACTIVITY Sources of Funds: Php : : :

TOTAL OF FUNDS Actual EXPENSES

Php

Actual Total EXPENSES Actual NET INCOME / (Net Loss)

Submitted by:

Validated by:

Organization's Treasurer

Organization's President

Noted by:

Recommended by:

Organization's Adviser

Ceery Ann E. Buligan Student Affairs Assistant

Remarks: Organization's Adviser

Course Chairperson

Approved by:

Dr. Emelita I. Javier VP for Student Affairs

OSA Form No. 11-006