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( Name of Club )

DATE : _______________________

TO : Eagle Edmarcil S. Simene


National President E.Y. 2023

THRU: Eagle Augusto A. Cadiz Jr


Secretary General E.Y. 2023

Eagle NESTOR T. CASINO


Executive PEIL Director

SUBJECT : REQUEST to PEIL FOR ORIENTATION SEMINAR

Respectfully endorsed the lists of applicants for membership of the ( Name of Club______ ) Eagles
Club, scheduled for PEIL ORIENTATION SEMINAR on ( Proposed Date ) at ( Proposed Venue ) , to wit:

Name Address Nature of Work/Source of Income


Name Address Nature of Work/Source of Income

Above-listed applicants were already interviewed /screened by the membership committee, undergo
four (4) I’s and have submitted all the basic requirements and documents.

Further request approval.

Eagle__________________________________ Eagle ________________________________


Screening Committee Chairman Club President

PLEASE PROVIDE the following ATTACHMENT :

For each APPLICANT : 4 copies Membership Form ( 1 each for, Club, Region, PEIL,
And National Secretariat ) 1 Original, 3 Photocopy
1 National ID form

For each Club Requesting for Chartering:

Documentation / photos of basic requirements:

3 General Membership Meeting


3 Community Projects

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