22nd Regional Mid-Ye

REGIONAL NON-ACADEMIC LEAG

FIRST NAME

RECENT 2X2 ID PICTURE MIDDLE NAME

WITH WHITE
BACKGROUND IN LAST NAME
CORPORATE ATTIRE
(COLORED)
 BACKGROUND IN
CORPORATE ATTIRE
(COLORED)
LOCAL CHAPTER
UN

NFJPIA MEMBERSHIP ID NUMBER

0 8 0 9 - 0 3 -

BIRTHDATE
19-Jan-00

CURRENT ADDRESS
104 Veloso Blvd. cor. Rosales Ave., UEP Zone I

E-MAIL ADDRESS
manuelarcenas69@gmail

CONTACT NUMBER
09257883604 / 0977

NON-ACADEMIC
PLEASE MARK THE BOX WITH "x". Note: There
Academic events a deleg

Mr. and Ms. Ambassadors of Goodwill 2019

Your Face Sounds Familiar

JPIA Project Runway

JPIA's Best Dance Crew

JPIA Babe

Short Story

Essay

Slam Poetry

Blackout Poetry

Creative Photography

Mural Painting
al Mid-Year Convention
ADEMIC LEAGUE APPLICATION FORM

T NAME
MANUEL JR.

LE NAME
ADRIATICO

NAME
ARCENAS
L CHAPTER
UNIVERSITY OF EASTERN PHILIPPINES

3 3 -

19-Jan-00

Ave., UEP Zone II, University Town, Northern Samar

manuelarcenas69@gmail.com

7883604 / 09776922689

-ACADEMIC EVENTS
x". Note: There is no limit as to the numberof Non-
events a delegates can join.)

Slogan Making

Body Painting

Speak Up
x Mind Blitz - Power Up: Non-Academic Quiz Bee

Basketball

Volleyball (Men)

Volleyball (Women)

Mobile Legends: Bang Bang Tournament

Scavengers Hunt

Palarong JPIA

For inquiries, please contact:

JHOVIE A. DAYOT
Vice President for Non-Academics, NFJPIA-EVC
Eastern Visayas State University - Main Campus

r8rvpnonacad.nfjpia1920@gmail.com
09365168701 / 09083922188