Office of the University Cultural Affairs

NEGROS ORIENTAL STATE UNIVERSITY

Main Campus, Dumaguete City
Semester: ______ School Year _________

UCA Form 1

Endorsement Letter

Date:

The Trainer/ Coach: ______________________________

UCA Ensemble: _________________________________

Sir/Ma’am:

This is to endorse _________________________________________ a fully screened artist who is

scheduled for the ensemble’s pre-membership orientation under your tutelage and training. Please find
and secure the artist’s profile and other pertinent documents from the UCA secretary. Thank you and
more power.

Yours in culture,

CARLOU G. BERNALDEZ, EdD

Director
 Office of the University Cultural Affairs
NEGROS ORIENTAL STATE UNIVERSITY
Main Campus, Dumaguete City
Semester: ______ School Year _________

UCA Form 2

Excuse Letter
Date:

_______________
_______________
_______________

Sir/Madam:

The undersigned would like to ask for an excuse of ______________________________from

your class/ meeting for the following reasons:
1. ________________________________________________________;
2. ________________________________________________________;
3. ________________________________________________________.

Hoping for your positive response and action on this request.

Thank you very much and more power.

Yours in culture,

CARLOU G. BERNALDEZ, EdD

Director
 Office of the University Cultural Affairs
NEGROS ORIENTAL STATE UNIVERSITY
Main Campus, Dumaguete City
Semester: ______ School Year _________

UCA Form 3
Parent’s Consent

Date:

The Director
University Cultural Affairs
Negros Oriental State University
Main Campus, Dumaguete City

The Director:

I would like to send and allow my son/daughter to the activity/ performance tour to
________________ (destination) organized by the university through your office from
_______________________________ (date of departure) to
_______________________________ (date of arrival).
I understand and agree that the organizers will do their best for the safe and smooth conduct and
facilitation of the said activity/event, still in case of any unexpected or unnatural happening I will
not hold the school responsible.

Details of the Student:

Name of the Student: ___________________________
Course and Year: ______________________________
College/ Department: __________________________
NORSU Student’s Number: _____________________
Student’s Mobile Phone Number: _________________

_______________________________
Name and Signature of Parent/Guardian
Date Signed: _______________________
Contact Details:
Mobile Number/s: _______________________________
Address: _______________________________________
FB Account: ____________________________________
Email Address: __________________________________