Office of the Secretary-General Room 200 MVP Student Leadership Center, Ateneo de Manila University 0917 8172283 | sanggusecgen@gmail.

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CERTIFICATE OF PROXY (COP) FORM

I, (full name here) am sending (full name) of (course), FOURTH YEAR SOSS CB REP as my proxy to the CB MEETING/BUDGET HEARING on 21 SEPT 2012 due to the reasons ____________________________________. I am fully aware of my responsibility to be cognizant of what has transpired during the missed meeting. I would like to inform your office that I am:

Giving my proxy voting powers on my behalf and I am confident that his/her

decisions will be responsible and will reflect mine Not giving my proxy voting powers because: ________________________________________________ ________________________________________________ ________________________________________________

Thank you very much!

Sincerely yours, NAME POSITION CENTRAL BOARD Sanggunian ng mga Mag-aaral ng mga
We are your sole autonomous student government. We voice out your concerns. We protect your welfare. We form the community. We are entrusted to lead and committed to serve. We are your SANGGUNIAN.
A member of BUKLOD ATENISTA, the alliance of student governments of Jesuit tertiary education institutions in the Philippines

Office of the Secretary-General Room 200 MVP Student Leadership Center, Ateneo de Manila University 0917 8172283 | sanggusecgen@gmail.com 0

Paaralang Loyola ng Ateneo de Manila

FOR OFFICE OF THE SECRETARY-GENERAL USE ONLY.

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Save as PDF file format (Please check if the PDF is readable and understandable before sending) and send to sanggusecgen@gmail.com

We are your sole autonomous student government. We voice out your concerns. We protect your welfare. We form the community. We are entrusted to lead and committed to serve. We are your SANGGUNIAN.
A member of BUKLOD ATENISTA, the alliance of student governments of Jesuit tertiary education institutions in the Philippines