. - pi ox No F-O5A6 50 SAA | eS TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES | "8° f Ayala Blvd., Ermita, Manila, 1000, Philippines iia a = Sey Tel No, +632-201-3001 local 606 | Fax No. ¥632-521-4063 Revision No | 0 _| = Email: osa@tup.edu ph | Website: wir tup.odu.ph aa aor Pose 7 | VAA-OSA STUDENT ASSISTANT APPLICATION ae coor School Year Course: 1x1 LD. Picture GENERAL INFORMATION Name: - (SURNAME) (GIVEN NAME) (MIDDLE NAME} Permanent Address: Present Address ~ Contact Nos. Age Brees Sex Civil Status: Height Weight Religion FB Acct _ Skil: Father Mother (Guardian) (Guarcian) Name = Address Contact No. _ _ - Occupation Business Address = Contact No. Monthly Income Write in the space provided the reasons why you are interested to apply as Student Assistant. hereby certify that all of the above-mentioned data are true and correct. Applicant's Signature over Printed Name Date [Fansaction 1D Signature |FOSA6.5aSAS 0 TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES |.!"%°"°. ‘Ayala Blvd, Ermita, Manila, 1000, Philippines Issue Na Tel No. +632-301-3001 local 606 | Fax No, +632-521-4063 | Revision No. | 00 Email: osa@tup.edu ph | Website: www.tup.edu.ph ment | ‘ Pag ETE STUDENT ASSISTANT’S SCHEDULE cae co-a7ai207 a Froowacoan || ooooome |] a [rsonn-vzoow | Es [secmacorw | ocmu-scomm | 6:00PM - 7:00 PM ToTaLNo.oFHouRs: |_| “See note 1&2 ‘Signature over Printed Name NOTE: 1. Please indicate your availability, ‘as Student Assistant by shading the corresponding time on the table ‘above. Service to be rendere #4 MUST be at least 2 hours (minimum) to 4 hours (maximum) per day. 2. Attach a photocopy of your Registration Form. Transaction 1D ignature