2020 Level 2

Recognition for
Proficiency In
SAMAR STATE UNIVERSITY Quality Management
Arteche Blvd., Catbalogan City, Philippines 6700
VPSAS | Student Welfare & Development Services
SSU-UNREG-FR-017
15-FEB-2022 REV 6

LETTER OF INTENT (LOI)

FOR RECOGNITION/ACCREDITATION OF THE ORGANIZATION

PRIVACY NOTICE

By voluntarily signing this form, you hereby give your consent to the processing of your personal information, full
name and signature including your photo and any other information you have given in this form. The University will use
the same and will be shared with concerned government agencies in compliance with audit and transparency
requirements mandated by laws, rules, and regulations, and same will be retained or deposed in accordance with R.A.
9470, otherwise known as the “National Archives of the Philippines Act of 2007”.

Under R.A 10173, otherwise known as the “Data Privacy Act of 2012” you have the right to be informed, to
object to access, to rectification, and initiate the necessary action for unlawful processing of or sharing of your
information stated in this form as provided by the said law.

United Architects Of The Philippines Student Auxiliary, UAPSA-SSU

Name of Organization

ENGR. MA. LOURDES P. AMANTE

Office of the Vice President for Student Affairs & Services
This University

Madam:

In support to the Samar State University Office of Student Affairs and Services
particularly on programs and activities designed for the enhancement and deepening of
leadership skills as well as for the social responsibility of the students to attain holistic
student development, we would like to express our intention to apply for accreditation/re-
accreditation of the United Architects of the Philippines Student Auxiliary, UAPSA-SSU.

We commit to submit the accreditation/re-accreditation documents for evaluation.

Very truly yours,

Godess Ivy G. Cañones

Signature over printed name of the President/Head

Date filed: AUGUST 08, 2022

Website: www.ssu.edu.ph
Contact us: (055) 530-0629 | info@ssu.edu.ph
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