12th NATIONAL YOUTH PARLIAMENT

21-25 October 2018

Davao City
APPLICATION FORM
Province: South Cotabato
Print legibly. Shade appropriate “Ο”.

I. PERSONAL INFORMATION

Name: _______________________________________________________________________________ Recent Passport Size

Family Name Given Name Middle Name Picture with white
background
Ο Male
Date of Birth: dd/mm/yyyy Age: 19 Sex:
Ο Female
Orchid Street, Cahilsot Village, Calumpang, General Santos City, South
Permanent Address:
Cotabato
Orchid Street, Cahilsot Village, Calumpang, General Santos City, South
Residential Address:
Cotabato
E-mail Address: vkbaliguat@gmail.com
Contact Details:
(Mandatory to Mobile Number: 0977 475 0905 CATEGORY OF
FiRl requiredl) DELEGATES (Please
Facebook Account URL: facebook com/mitochondriooon shade all applicable)
Ο In- School Youth
Food Restrictions: None Ο Out-of-School Youth
Ο Working Youth
II. EDUCATIONAL BACKGROUND
Ο Specific Youth Groups
/ Youth with Special
Highest
Name of School / University / Needs*
Inclusive Dates Education
College Ο Sangguniang
Attainment
Kabataan
General Santos City National High
Junior High School: 2011-2015
School
Senior High School:
Mindanao State University – General
College: 2015-
Santos
Vocational:

Post-Graduate:

III. CURRENT ORGANIZATIONAL MEMBERSHIP (Please attach additional sheet if necessary)

Organization** Inclusive Dates Position Held

Organization of Mathematics and Natural Sciences Students 2017-2018 Vice President

Mindanao Youth for Mental Health Coalition 2017- Co-convener

Youth for Mental Health Coalition, Incorporated 2017- Regional Head

Natural Sciences Students Association 2015- Member

Supreme Student Government 2014-2015 Coordinating Councilor

Red Cross Youth 2014-2015 Member

Youth for Environment in Schools Organization 2013-2015 Member

**If a member or officials of the Sangguniang Kabataan, please indicate position and barangay name.

IV. INVOLVEMENT IN YOUTH/COMMUNITY RELATED ACTIVITIESCOMMUNITY PROGRAMS ATTENDED

(Please attach additional sheet if necessary)

Inclusive Dates Description

National Fact Finding Mission (Kalamansig, Sultan Kudarat)

The mission aims to gather data and information of human rights abuses in 13 neighboring communities
including Sitio Lumoton, Barangay Hinalaan in Kalamansig, Sultan Kudarat where a school of CLANS, together
June 27th - July 2nd, 2018
with 20 houses were set on fire resulting to the displacement of 20 families or approximately around 120
individuals, including 58 students. There were also several undocumented cases of false/forced surrender of
civilians including students. The said mission was attended by different non government organizations across
the Philippines, associations from University of the Philippines and Mindanao State University and two

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 different parties, namely, Hon. Arlene D. Brosas from Gabriela Partylist and representatives from Act Teachers
Partylist.

Regionwide Seacamp (Glan, Sarangani Province)

The 2nd Regionwide Seacamp 2018 was attended by student leaders across Region XII that aims to strengthen
the awareness for environmental conservation because of the drastic effects brought by wrongdoings of
May 17th - 19th, 2018
humans. The event was filled with different workshops, forums and presentations, guided by different
speakers tackling environmental conservation, different marine habitats, wrong practices of people and many
more.

#JunkStigmaNow: A Series of Talks on Mental Health Awareness (DBC Life's Centerpoint, General Santos City)
The recently concluded event on mental health forum dubbed as "#JunkStigmaNow: Talks on Mental Health
Awareness" attended by students from Mindanao State University - General Santos, Notre Dame of Dadiangas
University, Ramon Magsaysay Memorial Colleges and Cronasia Foundation College, Inc. This event has been
initiated by Mindanao Youth for Mental Health, Youth for Mental Health Coalition, Inc., Peer Facilitators'
April 4th, 2018
Society, Supreme Student Government - NDDU, OMANSS, JITS, Akbayan Youth, Bagwis, The Quill Publication,
HTC - Office of Guidance Councilor and CFCI BS Social Services. Khryzza Mae Pinzon, National Chairperson of
Student Council Alliance of the Philippines and Gay Caudio, RCG were the speakers. The event aims to
gather students and young professionals from Regions XI and XII to tackle prominent mental
health stigmas affecting the society of mental health sufferers.

Gensan-wide Mental Health Awareness Forum (Bro. James McKnight Auditorium, Notre Dame of Dadiangas
University, General Santos City)
January 27th, 2018 The activity was assigned to help the General Santos City Community to be more aware to the issue, to
recognize and address the stigma that is present in our society and to help stop the stigma that hinders the
people in achieving the help that they need.
Muslim Youth Leaders Congress (General Santos City)
The event aims to help form mutual understanding among the youth as it provides a safe space for
them to learn together about conflict, to share their experiences in approaching them with their fellow
youth, and to build their capacity to engage and develop future conflict transformation projects and
January 20th-23rd, 2018 initiatives. Also, this aims to equip young Bangsamoro people in developing initiatives that will
address Bangsamoro challenges in local, national and international set-up. This hoped to bring young
people in greater heights of unity and competence. The 2nd MYLC focuses on policy making, UN
Sustainable Development Goals, Bangsamoro issues, Marawi Crisis, BIMP EAGA and ASEAN
Integration opportunities.
Mental Health Awareness Forum (Regional Science Research Centre, Mindanao State University, General
Santos City)
The first ever mental health awareness forum in General Santos City was attended by different students and
November 11th, 2017 organizations of Mindanao State University, as well as other well known schools in General Santos, namely,
Notre Dame of Dadiangas University and Holy Trinity College. The event aims to intensify mental health
awareness among students in order to eradicate the stigma in no time that no one should suffer in silence. Dr.
Marius Oco and Professor Doce of Sociology Department were the speakers of the said event.
Orientation, Seminar, Information, Education, Communication, Campaign on Waste Management (Regional
Science Research Centre, Mindanao State University, General Santos City)
September 22nd, 2017 The event aims to inform the students of the Organization of Mathematics and Natural Sciences Students
about the proper Waste Management. This event was initiated by the City Environment and Natural Resources
of General Santos.
32nd International Coastal Cleanup (Bula, General Santos City)
The International Coastal Cleanup was attended by different private sectors, organizations and government
September 16th, 2017 agencies. The event aims to collect trashes along the coastline of Barangay Bula and inform the locals residing
in the said place to throw garbages in designated areas. This event runs every September and it's now on 32nd
year.
HIV Awareness Seminar (Science Hall, Mindanao State University, General Santos City)
The seminar aims to educate the youth about sex education, specifically, on Human Immunodeficiency Virus
February 10th, 2016 and Acquired Immunodeficiency Syndrome and how to perform safe sex. Since the cases of HIV/AIDS is rapidly
increasing in General Santos, the said topic is relevant to the youth. The speaker of the event was from the
City Health Office.
#WhatsOursIsOurs: Campus Forum on the West Philippine Sea Issue (University Gymnasium, Mindanao State
University, General Santos City)
October 28th, 2015 The forum attended by the students of Mindanao State University aims to inform about the disputed islands in
the West Philippine Sea, the provocative actions of China, rights of the Philippines in territorial waters and its
diplomatic protests. The speaker of the event was Department of Foreign Affairs Secretary Charles Jose.
8th Divisionwide GenSar Chapter Red Cross Youth Camp 2014
With the tagline of "I think, I speak, I act. I am Red Cross Youth.", the event aims to showcase the talents of
October 24th-26th, 2014
different schools across General Santos and Sarangani Province and to train how to be prepared in different
calamities that most likely to happen.
First Aid Training in the Campus (General Santos City National High School)
September 6th-7th, 2014 The two-day event of Red Cross Youth aims to educate and train students on how to be ready on forthcoming
tragedies, catastrophic events with ideas on how to rescue injured people.
School-Based Leadership Training (General Santos City National High School)
July 24th-25th, 2014 The SBLT aims to shape the students on how to be an effective student leaders and how to inspire fellow
youth to do more and be more in the society.
November 15th-17th, 2013 YES-O Eco Camp 2013 (General Santos City National High School)

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 It aims to educate the students on how to take care of nature by means of activities that would be able to
shapen the creativity using things that can be recycled.


youth with disabilities, youth with indigenous background, youth of OFWs, transnational youth, youth coming from LGBTQ
groups, victims of any kind of abused, neglected, trafficking, and addiction

V. NYC PROGRAMS OR ACTIVITIES PROJECTS INVOLVEMENTATTENDED

Have you been involved in any NYC programs or activities? Ο Yes Ο No
If yes, please provide the details below. Please attach additional sheet if necessary.
Inclusive Date /
Name of NYC Program or Activity Involvement/Role
No. of Hours

Have you joined or attended any previous National Youth Parliament? Ο Yes Ο No

VI. MORAL CHARACTER REFERENCES

NAMEHave you ever been convicted of any DESIGNATIONDo you have any pending CONTACT NUMBERΟ Yes Formatted: Font: Bold
crime involving moral turpitude? case(s) in court? Ο No
Formatted: Centered
Associate Professor, Department of Biology and
Camille Concepcion-Silvosa, Ph.D. 0927 727 1527
Chemistry
Professor Gerry Jesus Villano Professor, Department of Sociology 0910 948 1989
Dean, College of Natural Sciences and Mathematics Ο Yes Ο No0998 992
Jaime Amante Namocatcat, Ph.D.
Professor, Department of Biology and Chemistry 0998

VII. COMMITTEE MEMBERSHIP

Please rank from 1 to 9 according to your priority PYDP centers of participation, where 1 is the highest priority Formatted Table
1 Health 7 Governance
3 Education 9 Active Citizenship
8 Economic Empowerment 2 Peace Building and Security
4 Social Inclusion and Equity 5 Environment
6 Global Mobility
Note: Committee is based on your ranking and availability of slots per Center

PARENTAL/GUARDIAN’S CONSENT
(for applicants below 18 years old)

I, ________________________________, mother, father, legal guardian of Ms./Mr.________________________________

do hereby understand and that I have read the information provided above and decided to allow my child
to participate.

____________________________
Signature over printed name

CERTIFICATION

I hereby certify upon my honor that all facts and information indicated herein are true and correct to the best
of my knowledge. I further declare that any information given by me that is untrue may constitute a ground
for expulsion in the 12th National Youth Parliament and prosecution for perjury.

Further, I subscribe and agree that the National Youth Commission has the sole prerogative to select, reclassify
and nominate the delegates to the 12th NYP, and its decision is final and executory.

I hereby commit myself to be available from October 21-25, 2018, and to actively participate in the post-
parliament activities for the next 2 years.

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I expressly authorize the National Youth Commission or its representatives to use, share and process personal
information that I have provided, shared or declared in this form/document/site for any lawful purpose.

I am willing to shoulder my transportation/travelling expenses necessary to facilitate my participation to the

activity.

IN WITNESS hereof, I am executing and signing this statement voluntarily without compulsion.

__________________________________ ___________________________________
Date accomplished Signature of applicant

12th NATIONAL YOUTH PARLIAMENT

21-25 October 2018
Davao City
Name Vincent Kynth Jugos Baliguat Formatted Table

Region XII (SOCCSKSARGEN)

List down the
committee of
Health Committee
your choice
Youth Issue
Identify the committies/issues and concerns; Identify the government interventions (laws, policies
and programs) to address the issues and concerns; Identify the gaps/shortcomings of the laws,
policies and programs implemented by the government? What are your recommendations?
Identify the committies/issues and concers; Identify the government interventions (laws, policies
and programs) to address the issues and concerns; Identify the gaps/shortcomings of the laws,
policies and programs implemented by the government?a specific issue affecting the youth in
yout locality and provide recommendations that will address said issue.What are your
recommedations.

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In recent times, numerous cases of suicide have been reported, as well as mental health problems, Formatted Table
most of which are left untreated. Filipinos do not have access in mental health services, leaving the
patients in worse conditions. Also, with the intense stigma regarding the issue, it triggers the mental
health sufferers to do the unthinkable- suicide. The Philippine Mental Health Law has its provisions
and here as follows: rights of service users, rights of service users' families, rights of healthcare
professionals, reinforced rights, safeguards, emphasis on community-based services; defines
services provided by hospitals and responsibilities, suicide prevention and public awareness; age-
appropriate integration into school curricula, required in health-related courses, mental health
friendly policies and programs in schools and workplaces, capacity-building, RnD. However, this
policy has its shortcomings. For example, the law does not include long term leave for mental
health sufferers, as well as the wage given to them despite of the leave. Also, this law does not
clarify the number of mental health institutions that will be built for patients that need confinement.
The said gaps have respective recommendations. For the former one, this law should provide a
necessary leave, if the condition is beyond worse with a necessary wage and must not be
replaced in his/her position. For the latter one, mental health institutions must be present in every
region and the joint budget will be taken from DOH, DSWD and national budget.

Important: Limit your answer to 150-300 words.

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 REMINDERS

QUALIFICATIONS OF APPLICANTS APPLICATION REQUIREMENTS

1. Must be a Filipino Citizen 1. Accomplished 12th NYP Application Form
2. Must be 15-30 years old on the day of the 2. Essay: 150 to 300 words
Parliament 3. Copy of any Proof of Residence and Age (Any
3. Of good moral character valid IDs or document that indicates address
4. Able to read and write and date of birth):
5. Has not been convicted of any crime involving a. School ID or Company ID
moral turpitude b. Any Government Issued IDs: Postal ID,
6. Must not have been a previous National Youth GSIS, PhilHealth, Pag-Ibig, TIN, etc.
Parliament delegate c. Passport
d. Birth Certificate
4. Must be willing to shoulder his/her travelling
expenses
APPLICATION PROCESS

1. Applications for the 12th NYP may be hand-carried, mailed or emailed to the National Youth Commission.
2. The deadline for submission of complete documents is on July 27, 2018 (Friday) at 5:00 PM.
3. For hand-carried or mailed applications, they may be submitted not later than the set deadline to any of
the following NYC Offices:

12th NYP Screening and Selection
Committee
National Youth Commission Central Office
3F West Insula Bldg., West Avenue corner
EDSA,
Quezon City12th NYP Screening and Selection
Committee
National Youth Commission
3F West Insula Bldg., West Avenue corner EDSA,
Quezon City
National Youth Commission Naga
Ground Floor, Naga City Youth Center Bldg,
Taal corner Magsaysay Ave, Naga
CityNYDIA P. DELFIN
National Youth Commission
Ground Floor, Naga City Youth Center Bldg, Taal
corner Magsaysay Ave, Naga City
National Youth Commission Iloilo
Ground Floor, ME Bldg, Dungon B. Jaro, Iloilo
CityKREYZL JOYCE PUGNA
National Youth Commission
Ground Floor, ME Bldg, Dungon B. Jaro, Iloilo City
National Youth Commission Davao
Door 1, Fuentes Bldg Quirino Ave., Davao
CityJULIUS D. GUTIERREZ
National Youth Commission
Door 1, Fuentes Bldg Quirino Ave., Davao City
National Youth Commission Baguio Formatted Table
Room 3 Lindi Hotel #12 Legarda Road,
Baguio CityARMANDO V. ANGELES
National Youth Commission
Room 3 Lindi Hotel #12 Legarda Road, Baguio
City
National Youth Commission Cebu
5/F BF Building, N. Escario St. Cebu
CitySHERIDAN ATHENA Y. GAJETE
National Youth Commission
5/F BF Building, N. Escario St. Cebu City
National Youth Commission Cagayan de
Oro
2/F, Cebu CFI Community Cooperative
Bldg, Tiano Bros. cor. Mabini Sts.,
Cagayan De Oro CityEVANESA Q. PASAMBA
National Youth Commission
2/F, Cebu CFI Community Cooperative Bldg,
Tiano Bros. cor. Mabini Sts., Cagayan De Oro
City
National Youth Commission Zamboanga
3/F VHW Bldg (Landbank) Veterans Ave.,
Zamboanga CityRAYMOND B. DOMINGO
National Youth Commission
3/F VHW Bldg (Landbank) Veterans Ave.,
Zamboanga City

4. For submission through mail, the NYP Secretariat/Cluster/Area Offices should receive the requirements post
marked on or before the set deadline.
5. Application documents, together with the scanned requirements may be submitted online to
nyp12@nyc.gov.ph on or before the set deadline.

E-mails must contain the following Subject format:

[Region, Province/Highly Urbanized City – Last Name, First Name Middle Initial]
Example: Region I, Ilocos Norte – Dela Cruz, Juan A

Applicants with incomplete requirements by 5:00 pm on the set deadline shall automatically be disqualified.

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