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FIRST CITY PROVIDENTIAL COLLEGE

Narra, Francisco Homes, City of San Jose Del Monte, Bulacan


OFFICE OF STUDENT AFFAIRS

CLUB/ORGANIZATION RENEWAL REGISTRATION FORM

Name of Club/Organization
Acronym
Date Established
Organization Type
(college-based, college wide)
College Dean
Email Address and Contact
Number of Dean/Program Head
Adviser
Email address and contact
number
Organizations’ Description (brief)
Vision of the Club/Organization
Mission of the Club/Organization
List of Officers
Proposed Activities

Noted by:

Teodora A. Santelices, LPT


Coordinator, Office of Student Affairs

Recommending Approval:

LEOVENCI O. SIMON, PhD


Vice president for Administration and Student Services

ECHEL SIMON-ANTERO, PhD


Vice President for Academics and Research

Approved by:

ESTRELLA O. SIMON, PhD


President

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