SSD-SOP Form No.

MARIANO MARCOS STATE UNIVERSITY

STUDENT SERVICES & DEVELOPMENT OFFICE

City of Batac 2906
.(63) 077 792-2569 to 148 Telefax No. (63) 077 792-3191
e-mail: ssd@mmsu.edu.ph

APPLICATION FOR RECOGNITION/RENEWAL OF ORGANIZATION

SY__________
__Old Returning __Renewal
_______________________
Date
The Director
SSD
This University
Madam:
I ____________________________________________ President of the
____________________________________________________________________
(Name of Organization)
for and in behalf of the said organization, am applying for the organizations renewal
of recognition for the school year _____________________.
.
I, together with the adviser/s of the organization, be held accountable and
responsible for the organization in accordance with the provisions of the Rules and
Regulations Governing Student Organizations of the Mariano Marcos State
University, City of Batac, Ilocos Norte.
_____________________________
Adviser

___________________________
President Name and Signature
of President

Recommending Approval:

___________________________
Student Affairs Coordinator

_____________________________
Dean/Director/Principal
Approved:
HENEDINE A. AGUINALDO
Director

SSDO-SOP (OSA) Form #2

Republic of the Philippines
MARIANO MARCOS STATE UNIVERSITY
Batac, Ilocos Norte
STUDENT SERVICES AND DEVELOPMENT
School Year___________
_____________________
Name of College/Unit
________________________

Name of Club/Organization
Date

Title of Activity

Description

Place of Beneficiaries

Prepared by:
_______________________
President
Type of Activities:
Academic-Symposium, quiz contest, etc
Fund raising-Dance/Disco Party, Raffle Draw, Sales, etc.
Cultural-Singing contest, concert, play, poster making, etc.
Sports fest- indoor/outdoor sports competition
Community service any service beneficial to the community

Noted:
__________________________
Adviser

SSD-SOP Form No. 3

Mariano Marcos State University

STUDENT SERVICES & DEVELOPMENT OFFICE

City of Batac 2906
.(63) 077 792-2569 to 148 Telefax No. (63) 077 792-3191
e-mail: ssd@mmsu.edu.ph

_______________________
Date
The Director
SSD
This University
Madam:
The ___________________________________________________________
(Name of Organization)
has applied for recognition as a university-based student organization.
I, a full time faculty, have consented to serve as the organizations adviser for the school
year ______________, and, therefore assume full responsibility for it. I am aware that my
presence or that my representative is necessary during all their activities. I am also willing to
cooperate and participate in all endeavors of SSD.
Furthermore, I certify to the correctness and completeness to the documents attached to
the organizations application for recognition.

Signature

____________________________________
Adviser

Printed Name :

____________________________________
Adviser

College
Tel. #

:
:

____________________________________
____________________________________

Home Address:
Tel. #
:

____________________________________
____________________________________

Consultation Hrs..:

___________________________________

SSD-SOP (OSA) FORM #4

Republic of the Philippines
Mariano Marcos State University
Batac, Ilocos Norte
STUDENT SERVICES AND DEVELOPMENT
LIST OF ELECTED OFFICERS
SY___________
__________________________
Name of College/Unit
________________________________
Name of Organization/Club

NAME

POSITION

HOME ADDRESS

TEL. NO.

SSD-SOP(OSA) FORM # 5
2X2
ID
PICTURE

Republic of the Philippines

Mariano Marcos State University
Batac, Ilocos Norte
STUDENT SERVICES AND DEVELOPMENT
BIO-DATA OF OFFICER
SY___________
NAME: _______________________________________________________________________
Family Name
Given Name
Middle Name
POSITION:____________________________________________________________________
ORGANIZATION:______________________________________________________________
Nickname:___________ Age____ Sex:_________ Religious Affiliation:________________
Nationality:_____________ Birth Date:_____________ Birthplace:_______________________
Campus Address: __________________________________ Telephone No. : _______________
Home Address: ____________________________________ Telephone No. : _______________
Students Classification:

A. Undergraduate

Freshman

B. Graduate: Full Time

Sophomore

Junior

Senior

Part Time Employee

Source of Financial Support:

Parents

Others

Scholarship (specify)___________________

Assistantship

Special Talents/Skill: ____________________________________________________________

_____________________________________________________________________________
_____________________________________________________________________________
__
College:_______________________________________________________________________
Course:_______________________________ Major: __________________________________
Educational Attainment:
Level
School Last Attended
Elementary

Inclusive Years

Honor/Award

High School
College/University
CLASS SCHEDULE:
Subject
Time

Day

Room

Professor

Membership in other student organization(s):

Name of Organization(s):_________________________________________________________
Position: ______________________________________________________________________
Reason(s) for joining the organization(s):____________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
__
FAMILY BACKGROUND:
Name of Father: ________________________________________________________________
Given Name
Middle Name
Family Name
Age: __________
Highest Educational Attainment: _________________________________
Occupation: ___________________________
Name of Mother: _______________________________________________________________
Given Name
Middle Name
Family Name
Age: __________
Highest Educational Attainment: _________________________________
Occupation: ___________________________
Number of Children in the Family:_______________
How many of your brother(s)/sister(s) are still studying? __________
How many of your brother(s)/sister(s) are working now? _________
Sources of Family Income:

Salaries/ Wages Pension None

Own Business

Others

___________________________
__________________
Signature of Student

(pls. specify)

Date

SSD-SOP(OSA) FORM #6
Republic of the Philippines
Mariano Marcos State University
Batac, Ilocos Norte
STUDENT SERVICES AND DEVELOPMENT
STUDENT ORGANIZATION MEMBERSHIP
SY___________
__________________________
Name of College/Unit
________________________________
Name of Organization/Club
NAME

DESIGNATION

COURSE/YR/
SECTION

SIGNATURE