NAVAL STATE UNIVERTSIY

Naval, Biliran
UNITED STUDENTS’ DEMOCRATIC ORGANIZATION (USDO)
FOUNDED 2003

MEMBERSHIP FORM
Complete Name: _________________________________________ Nickname:
___________________ Birthplace: ________________________
Birthdate: _______________________________________________ Civil Status: _________________
Sex: _____ Religion: ________________
Provincial Address: _______________________________________ Cell No.: _____________________
Tel. No, :__________________________
NAME OF PARENTS
Father: ________________________________________ Occupation:
__________________________________________________
Mother:________________________________________ Occupation:
__________________________________________________

EDUCATION
Elementary:___________________________________ Achievements:
_______________________________________________
Secondary: ___________________________________ Achievements:
_______________________________________________
College: Course/Year/Section: _________________ Position:
____________________________________________________

STATE REASONS FOR JOINING THE ORGANIZATION:

__________________________________________________________________________________________
____________________________
Talent/Special Skills:
__________________________________________________________________________________________
_________

I hereby certify that the above information and statement I have personally written in this
document are true and correct to the best of my knowledge. I have the honor to voluntarily apply
for Membership for the United Students Democratic Organization and commit myself to the
duties and responsibilities of being a member and/or officer of the Organization and further abide
with the constitution and by-laws of the USDO.

FURTHERMORE, I have hereunto affixed my name and signature, to wit:

_________________________________ _______________ RIGHT

THUMBMARK:
SIGNATURE OVER PRINTED NAME DATE SIGNED

NAVAL STATE UNIVERTSIY

Naval, Biliran
UNITED STUDENTS’ DEMOCRATIC ORGANIZATION (USDO)
FOUNDED 2003

MEMBERSHIP FORM
Complete Name: _________________________________________ Nickname:
___________________ Birthplace: ________________________
Birthdate: _______________________________________________ Civil Status: _________________
Sex: _____ Religion: ________________
Provincial Address: _______________________________________ Cell No.: _____________________
Tel. No, :__________________________
NAME OF PARENTS
Father: ________________________________________ Occupation:
__________________________________________________
Mother:________________________________________ Occupation:
__________________________________________________
EDUCATION
Elementary:___________________________________ Achievements:
_______________________________________________
Secondary: ___________________________________ Achievements:
_______________________________________________
College: Course/Year/Section: _________________ Position:
____________________________________________________

STATE REASONS FOR JOINING THE ORGANIZATION:

__________________________________________________________________________________________
____________________________
Talent/Special Skills:
__________________________________________________________________________________________
_________

I hereby certify that the above information and statement I have personally written in this
document are true and correct to the best of my knowledge. I have the honor to voluntarily apply
for Membership for the United Students Democratic Organization and commit myself to the
duties and responsibilities of being a member and/or officer of the Organization and further abide
with the constitution and by-laws of the USDO.

FURTHERMORE, I have hereunto affixed my name and signature, to wit:

_________________________________ _______________ RIGHT

THUMBMARK:
SIGNATURE OVER PRINTED NAME DATE SIGNED