OFFICE OF STUDENT ACTIVITIES

Vinzons Hall Annex, UP Diliman, QC

STUDENT ORGANIZATION ACTIVITY REQUEST FORM

Name of the Organization Date Filed

Title of the Activity Date of the Activity

Brief Description of the Activity

REQUESTS Venue / Designated Area Inclusive Time & Date

Posting of
 Streamers & Posters

 Police Assistance

Use of University
 Facilities as Venue for
Activities
FOOD
 SALE

TIANGGE,
 Etc.

Other
 Requests

Request forwarded by OFFICER of the organization: Noted by the FACULTY-ADVISER of the Organization:
Signature: Signature:
Name: Name:
Contact #: Unit/College:

Officially Recognized College-Based Officially Recognized University-Wide

Student Organization Student Organization

____________________ ____________________________________
College Secretary Coordinator, Office of Student Activities

Recommending Approval:
APPROVAL:
____: Vice-Chancellor for Community Affairs
________________________________
Vice-Chancellor for Student Affairs ____: Dean, _________________________
____: Manager, Business Concessions Office
Date: