APO Pledge Program Form No.

3
Revised: 02-07-18
Alpha Phi Omega
Philippines Incorporated

(Chapter)

(College/ University)

(Section) (Administrative Region)

Date: _____________________

TO : THE COMMITTEE ON MEMBERSHIP

THE NATIONAL VICE PRESIDENT FOR THE FRATERNITY / SORORITY AFFAIRS
Alpha Phi Omega Philippines Incorporated

Dear Brothers and Sisters:

Pursuant to Article III of our 2017 bylaws, we are respectfully submitting our APO PLEDGE
PROGRAM SCHEDULE for the _____ semester / trimester / summer of Academic Year __________.

We reaffirm our adherence to Republic Act No. 8049, “An Act ‘Regulating Hazing’ and
Other Forms of Initiation Rites in Fraternities, Sororities, and Organizations and providing
penalties therefore,” in our Chapter.

(Signature over Printed Name and ID Number) (Signature over Printed Name and ID Number)
GRAND CHANCELLOR/ FACULTY ADVISER
GRAND LADY CHANCELLOR

(Signature over Printed Name and ID Number)

SECTION CHAIR FOR COLLEGIATE

NOTED BY:

(Signature over Printed Name and ID Number) (Signature over Printed Name and ID Number)
REGIONAL DIRECTOR FOR COLLEGIATE REGIONAL DIRECTOR

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