SAWO Form 01

Student Affairs and Welfare Office

STUDENT ACTIVITY REQUEST FORM Submit the following upon

request of SARF:
[ ] 1. Approved AWFP (3copies)
[ ] 2. Budget Matrix (3copies)
[ ] 3. Detailed Programme
DR. CONSORCIO S. NAMOCO, JR. (3copies)
Vice-Chancellor, for Academic and Student Affairs [ ] 4.Parent Consent and Student
(If outside the campus)
This University
I. NATURE OF ACTIVITY/EVENT: Kindly fill-in necessary data/information below especially if it is necessary.

Date of Activity September 13, 2018

Application
Name of the Junior Philippine Society of Mechanical Engineers
Organization
Name of the Dave Raphael Dumanat
Representative
Title of Event Dasig Engineering Campaign
Type of Event Poster Awareness
(Symposium, Seminar-Workshop,
Conference, Training, Concert,
Assembly etc.)
General Objective To inform students that cheating is strictly prohibited based on students handbook
(Article IV, Section 4.2)
Specific Objectives 1. To discourage cheating among students.
2. To be able to post a laminated post sign at the Engineering Complex A and B.
3. To aware students that cheating will affect their academic learnings
Date of Event September 22 Hours Start
2018 Duration End
# of Participants USTP Venue of USTPCDO– Amount 2,000.00
community Event Engineering Allocated
Building C.R.
Source of Funds JPSME FUNDS

II) RECOMMENDATION: [ ] For approval [ ] For Disapproval

_________________________
ENGR. SHAHANI TRUZA-LAGURA ______
Reason/s for Disapproval: Name of Adviser Date
Signature-Over-Printed Name

III) RECOMMENDATION: [ ] For approval [ ] For Disapproval ALLAN T. RODOROTIO ______

Reason/s for Disapproval: Name of Facilities/Venue-In-ChargeDate
Signature-Over-Printed Name

[ ] AVR ITB [ ] AVR ICT [ ] AVR Engg Complex [ ] Gymnasium [ ] Others (Pls specify) _______________

IV) RECOMMENDATION: [ ] For approval [ ] For Disapproval DR. LEONEL L. PABILONA

_________________________ ______
Reason/s for Disapproval: Name of Department Chairman Date
Signature-Over-Printed Name

V) RECOMMENDATION: [ ] For approval [ ] For Disapproval LORY LIZA BULAY-OG, D. ENG’G, PECE
_________________________ ______
Reason/s for Disapproval: Name of College Dean Date
Signature-Over-Printed Name

VI) RECOMMENDATION: [ ] For approval [ ] For Disapproval JERWIN S. BORRES ______

Reason/s for Disapproval: Head, SAWU Date

VI) RECOMMENDATION: [ ] For approval [ ] For Disapproval ______

Reason/s for Disapproval: Date
DR. AMPARO V. DINAGSAO
Director, OSA

VII) APPROVED: [ ] For approval [ ] For Disapproval

___________________________ ______
Reason/s for Disapproval: DR. CONSORCIO S. NAMOCO Date
VC- Academic and Student Affairs

PROVISIONS ON THE CONDUCT OF ANY STUDENT ACTIVITY

1. FILING OF ACTIVITY REQUEST. 7 days before the activity proper. 6. ACCOMMODATION: Accommodation of the student is subject to the
Attach the following Policy of the
documents: a. Approved AWFP b. Detailed Programme c. Parent University. Official Receipt is required. 1) Php 200.00 rate per student
Consent and Student (daily) 2). Php
Waiver if it is an out-campus activity 400.00 rate per faculty and personnel (daily)
2. MORATORIUM: One week prior to preliminary, mid-term and pre-final; 7. RENTAL OF THE VENUE AND ENTRANCE FEE: The rental of the
and two weeks venue and entrance
before final examinations, all student organizations activities shall be fee will NOT be paid by the organization. The Organization is required
suspended. to look for a
3. LIQUIDATION/ACCOMPLISHMENT DEADLINE. Organizations should FREE venue.
submit one (1) copy 8. TRANSPORTATION: A Transportation Expense Report (TER) Form
of documentation report (Liquidation and Accomplishment Reports) not from SAWO will be
later than one (1) used for transportation. More than Php 150.00, TER form will be used
week or 7 days after the activity was conducted. Non-submission would by the officer-in-
mean non-approval charge.
or non-accreditation of the next activity. 9. MEAL AND SNACKS. Meal will comprise breakfast, lunch and dinner
4. OFFICIAL RECEIPT: All expenses incurred by the student organization while snacks include
should have AM and PM snacks. 1). Php50.00 per meal 2).Php25.00 per snack
corresponding Official Receipts. Job orders, cash vouchers, order 10. POSTING/DISPLAY OF ANNOUNCEMENT AND NOTICES. All
receipts and delivery materials
receipts are NOT accepted. (flyers/posters/tarpaulin/streamers) are allowed for posting/hanging in
5. HONORARIA AND DONATION: An Acknowledgment Receipt Form from designated
SAWO will be areas within the university campus provided that it is duly approved
used for honoraria and donations, duly signed by the and signed by the
Recipient/Beneficiary, disbursing Student Affairs and Welfare Office.