1 1 affiliation form

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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 ________________________________ IIEE- CSC @ 27


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

2

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

3

List showing a comparative table of revisions or amendments in the constitution and by-laws

4

Copy of activities completed the previous year

5

Copy of planned activities the current year

6

Previous year’s financial statement

7

Current year’s budget

8

Letter of Recommendation signed and approved by the College Dean, Department Head, or the Organization Adviser.

9

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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