Enclosure No.

XX: Official Results Form

REGISTRY OF QUALIFIED NOMINEES

Level of Learner Government: Elementary Secondary
Name of School: _________________________________________ School ID: _________________________

Position Name Gender Grade Level

President

Vice President

Secretary

Treasurer

Auditor

Public Information Officer

Protocol Officer

Grade ___ Representative

Grade ___ Representative

Grade ___ Representative

Grade ___ Representative

Grade ___ Representative

Grade ___ Representative

(Note: For representatives, add rows if necessary.)

Prepared by:

____________________________________________
Signature over printed name of
Commissioner on Appointment
Enclosure No. XX: Official Results Form

Attested by: Noted by:

____________________________________________ ____________________________________________
Signature over printed name of Signature over printed name of
Commissioner on Screening and Validation Chief Commissioner