OFFICE OF THE STUDENT AFFAIRS

Student Organization and Activities

Student Organization Adviser Consent Form

10/16/2018
Date

This is to certify that I, BONIFACIO T. GENISTON III, a faculty member in the College of
INFORMATION TECHNOLOGY accepts being the Adviser of ESSUC-MEDICS with the
following responsibilities.

Rules and Regulations Concerning Students and Activities

1. Provide wisdom on how the objective of the student organization can be attained in the
context of the rules and regulations of the University and those promulgated by the
Commission on Higher Education.
2. Recommend for approval duly planned activities and to attend all organization’s
activities and meetings.
3. Hold accountable for any violations committed by the members of the organizations.

NOTED:

_______________________ _______________________
Signature of College Dean Adviser’s Signature

BONIFACIO T. GENISTON III

Full Name

APPROVED FOR THE PRESIDENT:

CHRITITUTA M. BALAGAT
Dean, Student and Alumni Affairs

Can-avid, Eastern Samar

 OFFICE OF THE STUDENT AFFAIRS
Student Organization and Activities

Student Organization Adviser Consent Form

10/16/2018
Date

This is to certify that I, EMELYN M. NOROÑA, of HEALTH SERVICES accepts being the
Adviser of ESSUC-MEDICS with the following responsibilities.

Rules and Regulations Concerning Students and Activities

1. Provide wisdom on how the objective of the student organization can be attained in the
context of the rules and regulations of the University and those promulgated by the
Commission on Higher Education.
2. Recommend for approval duly planned activities and to attend all organization’s
activities and meetings.
3. Hold accountable for any violations committed by the members of the organizations.

NOTED:

_______________________ _______________________
Signature of College Dean Adviser’s Signature

EMELYN M. NOROÑA
Full Name

APPROVED FOR THE PRESIDENT:

CHRITITUTA M. BALAGAT
Dean, Student and Alumni Affairs

Can-avid, Eastern Samar

 OFFICE OF THE STUDENT AFFAIRS
Student Organization and Activities

Student Organization Adviser Consent Form

10/16/2018
Date

This is to certify that I, DARWIN H. CALVO, of DISASTER RISK REDUCTION

MANAGEMENT OFFICE accepts being the Adviser of ESSUC-MEDICS with the
following responsibilities.

Rules and Regulations Concerning Students and Activities

1. Provide wisdom on how the objective of the student organization can be attained in the
context of the rules and regulations of the University and those promulgated by the
Commission on Higher Education.
2. Recommend for approval duly planned activities and to attend all organization’s
activities and meetings.
3. Hold accountable for any violations committed by the members of the organizations.

NOTED:

_______________________ _______________________
Signature of College Dean Adviser’s Signature

DARWIN H. CALVO
Full Name

APPROVED FOR THE PRESIDENT:

CHRITITUTA M. BALAGAT
Dean, Student and Alumni Affairs

Can-avid, Eastern Samar