Please submit this duly filled-up application form on or before July 15, 2019 together

1x1
with ALL of the following I.D. PICTURE
WHITE
 Certificate of candidacy BRACKGROUND
 Certificate of good moral character
 A photocopy of prospectus or Form 138 and certificate of registration (COR)

SSG CANDIDATE APPLICATION FORM

GENERAL INFORMATION
Name
Last Name ( First Name) (Middle Initial) (N.E)

Sex Male Female Citizenship

Home Address:
Date of Birth (mm/dd/yy): Place of Birth:

Grade/ Year o President

Desired o Vice President
Position o Senator
Section or Strand Name of Party o Representative

Mobile Number/s e-mail

*Average Grade
MAJOR EXTRA-CURRICULAR ACTIVITIES ,INVOLVEMENTS & PARTICIPATION
Extra-Curricular Activities** Date

ORGANIZATIONAL AFFILIATION
Name of Organization** Position Held Date

*specify what the subject is

** Only major achievements done and major leadership involvement are recommended
 FAMILY BACKGROUND
1 Father’s Name
2 Mother’s Name
(Last Name) (First Name) (Middle Initial) (N.E)

1 Occupation Company Name and Position Held

2 Occupation Company Name and Position Held
1 Age: Citizenship
2 Age: Citizenship
Name of Siblings Age Status Occupation
1
2
3
4
5
6

Essay. Please be concise, limit your essay within the space provided.

7. Describe yourself. What are your dreams and platforms for our school? Why do you want to be an SSG officer?
If you will win, how can this be of help to you?

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I/ We hereby certify that all the information given here is true, correct and complete, and you are hereby authorized to
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verify the same through an official inquiry if needed.
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I/We understand that misinterpretation and withholding of information requested in the application form will be
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sufficient reason for DISAPPROVAL OR CANCELLATION OF THE CANDIDACY.

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(Applicant Signature over Printed Name)

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(Father’s Signature over Printed Name) (Mother’s Signature over Printed Name)

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(Class Adviser’s Signature over Printed Name)

Form No.1 s. y 2019-2020