CHIEF DELEGATE DESIGNATION FORM

(Please type or print in block letters, replace items in parenthesis)

May 15, 2022

TO: The Area Secretary

Area 1, JCI Philippines

JCI Naguilian Basi

hereby advises that the Chief Delegate representing this Local Organization at the 2nd Area
Council Meeting will be:

Nasser A. Dugasan

We certify that he/she is the duly-appointed and authorized Chief Delegate and shall have full
authority to act for and in behalf of our Local Organization.

Certified:

Name and Signature of LO Secretary Name and Signature of LO President

Verified:

Name and Signature of RVP

Received:

_______________________ _____________________
2022 Area Secretary 2022 Area Vice President

CHIEF DELEGATE DESIGNATION FORM

March 23, 2022

TO: The Regional Secretary

Area 3, JCI Philippines

JCI PILI ISAROG

hereby advises that the Chief Delegate representing this Local Organization at the 1st Regional
Council Meeting will be:

Timothy Favis

We certify that he is the duly-appointed and authorized Chief Delegate and shall have full authority
to act for and on behalf of our Local Organization.

Certified:

Timothy Favis (2022 L.O Secretary) Ryan E. Barias (2022 L.O President)

Verified and Received:

_____________________
2022 Regional Vice President, BICOL (Region)