THE PHILIPPINE RED CROSS National Headquarters Manila RCY COUNCIL PROFILE Name of School/Communit !

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Com&lete Name of Council! "esle an #ni$ersit Colle'e Red Cross (outh Council RC( Council Cate'or ! )ddress Tele&hone Nos, 0a+ Num*ers ! ///// E%mail )ddress ! 1u&rc 2 ahoo,com,&h JRCY SRCY CRCY ComRCY

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We certify that the information appeared thereto are true and correct, we commit to support the activities of the Philippine Red Cross Red Cross Youth Program knowing the service and the benefits it can give to our pupils/students/constituents !urther to conform to the policies, ob"ectives and to the #even !undamental Principles of the Red Cross $ovement Su*mitted * !

RE3INE M)RIE M, S)LON3)

President- RC( Council

PHOE4E P, C)ISIP- RN- M)N

)d$iser- RC( Council

Noted 4 !

DR, NOR5IN T, MI3#EL

School/Communit Head

MRS, ELEN) M, L)DI3NON

Cha&ter )dministrator

Cha&ter! ///// Date6mm/dd/

7! ///// ACCREDITATION
6To *e filled%u& * the RC( De&artment 7

REGISTRATION CODE
6To *e filled%u& * Cha&ter7 CHAPTER YEAR COUNCIL CODE CODE

//// //// NEW COUNCIL RENEWAL

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Processed * ! /////

Date! /////

8indl accom&lish this form in tri&licate co&ies to the RC( De&artment,

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