Philippine Association of State Universities and Colleges

PASUC Form 2
9TH PASUC CULTURE AND THE ARTS FESTIVAL 2017
Lead Host University :Negros Oriental State University (NORSU) OFFICIAL ENTRY FORM AND GALLERY OF
Dumaguete City, November 29-December 1, 2017 MUSIC
THEME: PASUC @50: At the Forefront of the Global Dynamics of Public Higher Education (Event) Page 1of 2
through Culture and the Arts
Date of Screening: November 22-24, 2017
Dumaguete City
REGION: 8 Eastern Visayas Category Chorale

School Seal CONTESTANT CONTESTANT CONTESTANT CONTESTANT CONTESTANT CONTESTANT

Here…..

Joseph Brian A. Ronald Dave S. John Vencent D. Syradia Christine Pol

Name Ailleen R. Amorin Elson Jr. I. Lecciones
Basalo Chiong Madejanon
Date of Birth JULY 10, 1995 AUG 3, 1995 DEC. 13, 1997 AUG 17, 1994 APRIL 20, 1997 NOV. 16, 1997
Course & Year BSED; 4th Year BSED; 4th year BSED; 4th Year BSED ; 4th year BSED; 4th Year BSED; 4th Year
School SLSU SLSU SLSU SLSU SLSU SLSU
CONTESTANT CONTESTANT CONTESTANT CONTESTANT CONTESTANT CONTESTANT

Recent Scanned Recent Scanned Recent Scanned

Picture Picture Picture
Recent Scanned
Picture

Name Jaicah F. Tolibas Russel, Jr. T. Mosot Type here Type here Type here Type here
Date of Birth DEC. 12, 1997 JANUARY 6, 1999 Type here Type here Type here Type here
Course & Year BEED; BSED; 3rd Year Type here Type here Type here Type here
School SLSU SLSU Type here Type here Type here Type here
 Philippine Association of State Universities and Colleges
9TH PASUC CULTURE AND THE ARTS FESTIVAL 2017 PASUC Form 2
Lead Host University :Negros Oriental State University (NORSU)
OFFICIAL ENTRY FORM AND GALLERY OF
Dumaguete City, November 29-December 1, 2017
THEME: PASUC @50: At the Forefront of the Global Dynamics of Public Higher Education through Culture and the Arts MUSIC
(Event) Page 1of 1
Date of Screening: November 22-24, 2017
Dumaguete City
REGION: 8-Eastern Visayas Category Live Band

CONTESTANT CONTESTANT CONTESTANT CONTESTANT CONTESTANT CONTESTANT

Recent Scanned Recent Scanned Recent Scanned Recent Scanned Recent Scanned Recent Scanned
Picture Picture Picture Picture Picture Picture

Name Type here Type here Type here Type here Type here Type here
Date of Birth Type here Type here Type here Type here Type here Type here
Course & Year Type here Type here Type here Type here Type here Type here
School Type here Type here Type here Type here Type here Type here
COACH ASST. COACH CHAPERON Eligibility Requirements:
9TH PASUC
1.) Official Transcript of CULTURE AND THE
Records (OTR) with:
a.) complete scholastic ARTS FESTIVAL
record of athlete. 2017
Recent Scanned Recent Scanned Recent Scanned b.) subjects and grades
Picture Picture Picture of 1stSem, SY 2017-
2018.
c.) subjects enrolled for
2ndSem, SY 2017- University Seal
2018
e.) scanned Picture of
student
f.) School Dry Seal
Charissa Mae O.
Name Rene C. Radaza Type here Type here
Navales 2.) PASUC Games Form
Numbers: 1, 2 & 3.
Age Type here 22 Type here Type here 3.) NSO Birth Certificate
Contact no#/ Mobile no# Type here 09355489220 Type here Type here 4.) CMO. 63-Certificate of ________________
Email Address Compliance from HEI. REGIONAL CULTURAL
Type here navalescharissamae@g Type here Type here
mail.com DIRECTOR