MARIANO MARCOS STATE UNIVERSITY

Office of Student Affairs and Services

APPLICATION FOR CANDIDACY

(CAS STUDENT COUNCIL)

Name: Justin Ronan S. Punzalan Age: 21

Address: . Brgy 2 Anao, Piddig, Ilocos Norte
Course/Year/Section: BA Communication 4A Contact No: 09662643903
Parents: (Father) Ronaldo B. Punalan Occupation: Merchant Mariner
(Mother) Joy Ann S. Punzalan Occupation: Teacher
Address: Brgy 2 Anao, Piddig, Ilocos Norte
Name of Party: LETS PARTY
Position Applying for: Vice-President

I hereby certify that the information given above is true and correct to the best of my
knowledge and belief.

JUSTIN RONAN S. PUNZALAN

Signature over Printed Name

Noted:

Student Affairs Coordinator

EVALUATION OF PERTINENT DOCUMENTS / INTERVIEW AND ASSESSMENT RESULTS

Name of Candidate:
Party:

Forms Date Completed Remarks

FORM 1
FORM 2
List of Party Candidates

Interview Results:

Evaluators:

Rm. 110, Bldg. #16S Quiling Sur, City of Batac, Ilocos Norte
 osas@mmsu.edu.ph  +63(935-848-6068) www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
Office of Student Affairs and Services
CERTIFICATION OF GRADES

This is to certify that Mr. who is running for the position of to

the University Student Council election has obtained the following grades for the previous
semester:

COURSE CODE COURSE TITLE NO. OF UNITS GRADES

Total number of units in the previous semester:

Number of units enrolled at present:

CONFIRMATION OF RESIDENCY AND OFFICIAL ENROLMENT

This is to certify that has been enrolled in

this University from Semester A.Y. up to
semester A.Y. .

It is further certified that the above-mentioned student is officially enrolled for this

semester. Done this day of September, 2022 at the City of Batac.

HENEDINE A. AGUINALDO
University Registrar

Rm. 110, Bldg. #16S Quiling Sur, City of Batac, Ilocos Norte
 osas@mmsu.edu.ph  +63(935-848-6068) www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
Office of Student Affairs and Services
LIST OF CANDIDATES

NAME OF PARTY: LETS PARTY

POSITION NAME COURSE/YEAR

President John Sherwin Duran BA Comm 4A
Vice-President Justin Ronan S. Punzalan BA Comm 4A
Secretary
Assistant Secretary Josh Batangan
Treasurer Sidney Angelika Cabralda Lord
Assistant Treasurer
Auditor
Business Manager
PIO
Cultural Manager
Athletic Manager
First Year Representative
Second Year Representative
Third Year Representative
Fourth Year Representative

* will only be voted by their respective colleges / units

Rm. 110, Bldg. #16S Quiling Sur, City of Batac, Ilocos Norte
 osas@mmsu.edu.ph  +63(935-848-6068) www.mmsu.edu.ph