Republic of the Philippines

BATANGAS STATE UNIVERSITY

Batangas City

LOCAL OFF-CAMPUS ACTIVITIES

CERTIFICATE OF COMPLIANCE

This is to certify that all the processes, procedures and requirements before the conduct of the off-campus
activity – Oplan: Malnutrisyon Aksyonan Kalusugan Alagaan to be held on February 5- May
7 pursuant to CMO No.63, s. 2017 entitled “Policies and Guidelines on Local Off-campus Activities”
have been duly complied with, and that by virtue thereof, we hereby assume full responsibility for the
safety and welfare of the students.

Certified Correct: Recommending Approval:

___________________________ __________________________
Ms. Larah Camile S. Adao Dr. Erma B. Quinay
Personnel-in-Charge Vice President for Academic Affairs

Approved by:

___________________
Dr. Tirso A. Ronquillo
President of Batangas State University

SUBCRIBED AND SWORN to before me, this _______________, by __________________ who

exhibited to me (his/her) competent proof of identification _______________________ issued at.
______________, Philippines on ______________.

Notary Public

Doc. No. ____;

Page No.____;

Book No.____;

Series of ____