Republic of the Philippines

Polytechnic University of the Philippines

OFFICE OPF THE VICE PRESIDENT FOR FINANCE

Annex A

FUND RAISING ACTIVITY APPLICATION FORM Application No. Name of Project: Date/Duration: Requesting Organization: College/Branch/Campus: Name of Representative: Address/Contact No.: Objectives: Received by: Date Received: CSC MEMBERSHIP FEE November 18 March 15, 2013 PUP TAGUIG CENTRAL STUDENT COUNCIL TAGUIG Neil Ian A. Ambrocio 10G Carnation St., Wawa, Taguig City / 09277501732

PROJECT ESTIMATES: 1. Estimate Income (provide extra sheet if necessary) a. Number of tickets/items to be sold b. Price per ticket/item c. Total estimated tickets/items sales (a x b) d. Other Income e. Total estimated Income (c + d)
*Tickets are to be registered in the Internal Audit Office 2. Budgeted Expenses

2,395 P 45 P 107, 775 P 52, 000 P 159, 775

EXPENDITURES Php

AMOUNT

a. Total Budgeted Expenses 3. Total Estimated Proceeds (1e-2a)

Php Php

154, 500 5, 275

4. Proceeds Utilization Plan (use extra sheet if necessary) a. Will be added to the funds of next semesters activities. b. c. d. e. f. g. h. 5. List of officials/Coordinator (use extra sheet) 6. List of Participants (if necessary)
___Florence Mae Gutierrrez____ ___Neil Ian A. Ambrocio____

Treasurer / Representative RECOMMENDING APPROVAL

President of Organization

__Prof. Bernadette I. Canlas__ Adviser Clearance on previous activity: (please put a check) Cleared

__Prof. Sharon Joy F. Pelayo__ Dean/Director

Title of Previous Project: ___CSC MEMBERSHIP FEE__ School Year: ____________2013-2014_____________

Not Cleared

Remarks: ____________________________________ ____________________________________ ____________________________________

_______________________________ Director, Internal Audit Office RECOMMENDING APPROVAL FUND RAISING BOARD

_____________________________ Vice President for Student Services Member

__________________________________ Vice President for Academic Affairs/ Vice-President for Branches and Campuses Member

_______________________________ Vice President for Administration Member

______________________________ Vice President for Finance Chairman

APPROVAL

______________________________ DR. EMANUEL C. DE GUZMAN President

Note: Upon approval of the said project, please furnish the following offices a copy of this project:

1. Internal Audit office 2. VP Finance 3. Resource Generation Project 4. College/Branch/Campus

2
nd

Floor South Wing PUP A. Mabini Campus, Anonas Street, Sta. Mesa Manila

Phone: 713-6344; (Trunk Line) 716-7832 local 260/300; Website: www.pup.edu.ph

The Countrys 1st PolytechnicU