MAYON EAGLES CLUB PERSONAL DATA SHEET

NAME (Last Name, First Name, Middle Name)

1. DO YOU HAVE ANY RELATIVE THAT ARE MEMBER OF ANY EAGLE CLUB? YES / NO (PLEASE GIVE DETAILS TO ALL YES ANSWERS)

2. DO YOU HAVE ANY HISTORY WHEREBY YOUR APPLICATION FOR MEMBERSHIP WAS REJECTED BY ANY FRATERNITY OR ORGANIZATION? YES / NO

3. HAVE YOU EVER BEEN FORMALLY CHARGES? YES / NO

4. HAVE YOU EVER BEEN A PARTY TO ANY CRIMINAL, CIVIL OR ADMINISTRATIVE CASES? (INCLUDING PENDING) YES / NO

5. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR VIOLATION OF ANY LAW, DECREE, ORDINANCE OR REGULATION BY ANY COURT OR
TRIBUNAL? YES / NO

6. DO YOU HAVE ANY PENDING APPLICATION FOR MEMBERSHIP IN ANY OTHER FRATERNITIES OR ORGANIZATIONS? YES / NO

I DO HEREBY CERTIFY THAT I HAVE VOLUNTARILY AND FREELY ACCOMPLISHED THIS PERSONAL DATA SHEET AND ALL THE INFORMATION
CONTAINED HEREIN IS TRUE, COMPLETE AND IS BASED ON MY PERSONAL KNOWLEDGE.

I HEREBY AUTHORIZE THE MEMBERSHIP AND EXTENSION COMMITTEE OF THE METRO NAGA EAGLES CLUB OR IT’S AUTHORIZE REPRESENTATIVE
TO VERIFY AND VALIDATE THE CONTENTS STATED HEREIN.

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Signature Over Printed Name

NAME OF CLUB:

MAYON Eagles Club

MNEC Data Sheet page 2