Attach 2x2

Student Welfare and Formation Office

picture with
De La Salle University - Dasmariñas
your full name
at the back

NON-FRATERNITY/SORORITY AGREEMENT

I (SURNAME, FIRST NAME, MIDDLE NAME) CRUZ, JOSEF RODEL REYES from (Course, Year and
Section) Bachelor of Science in Biology, 1st year, BIO1-2, with ID no. 202131296, (Nationality)
Philippine/Filipino, born on 11 November 2002 and with residence and postal address at Block 25 Lot 6
Tabor Street, Alcove Ridge Crest Subdivision, Pasong Buaya 2, Imus, Cavite, after having been duly sworn
to in accordance with law, hereby depose and state that:

Choose the appropriate statement and put a check on the blank

_____ 1. I am NOT a member of any fraternity, sorority or any organization not recognized by the De
La Salle University-Dasmarinas (hereinafter called the UNIVERSITY); or

1.1 During my entire stay in the University, I shall NOT join any fraternity/sorority or any
organization not recognized by the UNIVERSITY;
1.2 I fully acknowledge and understand that my admission to the University is not a right,
rather a privilege, and that the UNIVERSITY, by virtue of its academic freedom, has the
right and authority to choose the person or individual that may be admitted as student of
the UNIVERSITY;
1.3 I fully acknowledge and understand that the University also has the authority to prescribe
rules and regulations governing non-membership of students in any fraternity, sorority,
or any organization in the UNIVERSITY; and these rules are valid based on the
constitutional right of institutions of higher learning to prescribe the conditions they may
require of any person or individual aspiring to become their student as well as public
policy as follows:
1.3.1 The recognition by the Government of the right of institutions of higher education
such as the UNIVERSITY to withhold recognition of fraternities, sororities or
organizations considered inimical to peace and order in school campuses.
1.3.2 The general belief that forming fraternities and/ or sororities in the UNIVERSITY
disrupts the unity and peace the UNIVERSITY wishes to promote among members
of the academic community.
1.3.3 The general belief that the presence of fraternities, sororities or organizations not
recognized by the UNIVERSITY can contribute to violence, which can be
experienced on campus.
1.3.4 The general perception that membership in fraternities, sororities or any
organizations not recognized by the UNIVERSITY can develop hardened
characters among its students, which is contrary to the UNIVERSITY MISSION
STATEMENT.
1.3.5 The general belief that the absence of fraternities, sororities or any organization
not recognized by the UNIVERSITY strengthens camaraderie among Lasallians and
eliminates the divisive effects of these kinds of organization.
1.4 I fully recognize and accept that my continued stay in the UNIVERSITY is subject to my
compliance to prescribed discipline policies, rules and regulations especially with my non-
membership in fraternities, sororities or organizations not recognized by the UNIVERSITY.

_____ 2. I am a member of ____________________ Fraternity/Sorority, an Organization not

recognized by the UNIVERSITY. Notwithstanding this, I promise that I will not do any positive
act relative to my membership in such fraternity/sorority. By this, it means that I am not going
to recruit, directly or indirectly, any student belonging to the UNIVERSITY;

3. That the school shall not be held liable for any untoward incident that may happen to me relative to
being involved in a fraternity/sorority;

4. I fully understand and accept that the UNIVERSITY can either dismiss or exclude/expel me if I would
be found and proven having violated the condition of this contract as well as having falsely certified
any information stated herein;

5. I am REQUIRED to submit* this document to the Student Welfare and Formation Office (SWAFO)
before the end of the current semester (on or before July 15, 2022).
 *This document shall be submitted personally or thru an authorized representative to:

c/o Student Welfare and Formation Office (SWAFO)

Room 205 CTHM Building, De La Salle University – Dasmariñas

6. Should I fail to comply without any valid reason expressed in writing, it shall result to my student
portal account being put ON HOLD for the enrollment period of the succeeding term/semester.

7. I am executing and submitting this contract as an integral requirement for my admission as a student
of the UNIVERSITY.

__________________________________
Printed Name and Signature of Student

Student’s Government Issued ID card:

ID card No.: ____________________________
Date of Issue: ______________________
Place of Issue: _____________________
Validity: __________________

Assisted by:

___________________________________________
Parent’s or Guardian’s Signature over printed name

Parent’s or Guardian’s Government Issued ID card:

Type of ID: ________________________
ID No: ____________________________
Date of Issue: ______________________
Place of Issue: _____________________
Validity: __________________

SUBSCRIBED AND SWORN TO BEFORE ME on this ______ day of _______________, in

_____________________________________ (city/municipality/province), by the above student and/or
parent/guardian, exhibiting to me the above-stated valid ID card.

WITNESS MY HAND AND SEAL on the date and place first mentioned.

(NOTARY PUBLIC)

Doc. No. _____________________

Page No. ____________________

Book No. ____________________

Series of: ____________________

(Some provisions were adopted from the Non-Fraternity Contract being implemented by DLSU-Manila.)