School Chapter Information

Name of School:
Name of School Chapter Organization:
Name of College Dean:
Name of Department Head:
School Address: ____________________________________________________________
____________________________________________________________
(Street, City, Province, Zip Code)

Telephone Numbers:
Fax Numbers:
Email Address:

Chapter Officer Information

President
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Vice President for Internal Affairs
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Vice President for External Affairs
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Vice President for Technical Affairs
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________

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Secretary
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Treasurer
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Auditor
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Public Relation Officer
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________

Chapter Representative
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________

Chapter Representative
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________

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Members
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________

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Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________
Name: ___________________________________________________
Contact number: ____________________
Email: ____________________________
Birthday: __________________________
Signature: _________________________

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School: _____________________________________________
Region: ________
Total Members: ____________
List:
1.__________________________________
2.__________________________________
3.__________________________________
4.__________________________________
5.__________________________________
6.__________________________________
7.__________________________________
8.__________________________________
9.__________________________________
10 _________________________________
11 _________________________________
12 _________________________________
13 _________________________________
14 _________________________________
15 _________________________________
16 _________________________________
17 _________________________________
18 _________________________________
19 _________________________________
20 _________________________________
21 _________________________________
22 _________________________________
23 _________________________________
24 _________________________________
25 _________________________________
26 _________________________________
27 _________________________________
28 _________________________________
29 _________________________________
30 _________________________________
31 _________________________________
32 _________________________________
33 _________________________________
34 _________________________________
35 _________________________________
36 _________________________________
37 _________________________________
38 _________________________________
39 _________________________________
40 _________________________________
41 _________________________________
42 _________________________________
43 _________________________________
44 _________________________________
45 _________________________________
46 _________________________________
47 _________________________________
48._________________________________
49._________________________________
50._________________________________

51._________________________________
52._________________________________
53._________________________________
54._________________________________
55._________________________________
56._________________________________
57._________________________________
58._________________________________
59._________________________________
60._________________________________
61._________________________________
62._________________________________
63._________________________________
64._________________________________
65._________________________________
66._________________________________
67._________________________________
68._________________________________
69._________________________________
70._________________________________
71._________________________________
72._________________________________
73._________________________________
74._________________________________
75._________________________________
76._________________________________
77._________________________________
78._________________________________
79._________________________________
80._________________________________
81._________________________________
82._________________________________
83._________________________________
84._________________________________
85._________________________________
86._________________________________
87._________________________________
88._________________________________
89._________________________________
90._________________________________
91._________________________________
92._________________________________
93._________________________________
94._________________________________
95._________________________________
96._________________________________
97._________________________________
98._________________________________
99.________________________________
100 ________________________________
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101 ________________________________
102 ________________________________
103.________________________________
104.________________________________
105.________________________________
106.________________________________
107.________________________________
108.________________________________
109.________________________________
110.________________________________
111.________________________________
112.________________________________
113.________________________________
114.________________________________
115.________________________________
116.________________________________
117.________________________________
118.________________________________
119.________________________________
120.________________________________
121.________________________________
122.________________________________
123.________________________________
124.________________________________
125.________________________________
126.________________________________
127 _______________________________
128 _______________________________
129.________________________________
130.________________________________
131.________________________________
132.________________________________
133.________________________________
134._______________________________
135.________________________________
136.________________________________
137.________________________________
138.________________________________
139.________________________________
140.________________________________
141.________________________________
142.________________________________
143.________________________________
144.________________________________
145.________________________________
146.________________________________
147.________________________________
148.________________________________
149.________________________________
150.________________________________

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CHECKLIST
1

Constitution and By Laws of the Electrical Engineering Student organization

For re-affiliation: amended constitution and by-laws of the Electrical

Engineering student organization

List showing a comparative table of revisions or amendments in the

constitution and by-laws

Copy of activities completed the previous year

Copy of planned activities the current year

Previous years financial statement

Current years budget

Letter of Recommendation signed and approved by the College Dean,

Department Head, or the Organization Adviser.

Master list of enrolled students in the electrical engineering or electrical

technology department, signed and approved by the School Registrar, or
College Dean, or Department Head, or Organization Adviser

10

Master list of students to be affiliated to the Institute with picture. To be

accomplished in MS Excel file format

11

Accomplished forms with 2pcs. 1x1 ID picture. One pasted on hard copy and
one spare.

12

Accomplished forms with scanned ID picture on soft copy.

13

Accomplished excel format with scanned ID picture on soft copy

14

Photocopy of deposit slip

15

CD of soft copy of the above requirements

16

Long brown envelope

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