Philippine Luzon District
Suite 6, Francisco Gold Condominium I
784 EDSA, 1102 Cubao, Quezon City, Philippines
Telephone No: 929-7727
Division/Club
President's Name
Contact Number/E-mail address
Secretary's Name
Contact Number/E-mail Address
GOVERNOR'S OFFICIAL VISIT QUESTIONNAIRES:
1. How many new members have you invited and registered during this administrative
year? (please write the names, birthdates & addresses at the back of this paper)
2. How many members have you deleted this year? (please write the names at the back of
this paper)
3. Have you sponsored or co-sponsored in the opening of a new club? What club?
4. Were your officers (pres & sec) participated in the CLE? (please write the names at the
back of this paper)
5. How many interclubbing activities have you done with a minimum of 2 members
present? (please write no more than ten names of the clubs visited at the back of this
paper; include dates & events; write only one club per visit)
6. Who represented your club during the First Governor's Official Visit?
7. How many members from your club were registered during the Batis Aramin
Convention? (please write the names at the back of this paper)
8. How many members from your club were registered during the ASPAC Taiwan
Convention? (please write the names at the back of this paper)
9. What are the activities had your club participated during the Kiwanis Week with a
minimum of 2 members present? (please write the activities & the number of
participants at the back of this paper – excluding Kiwanis Night)
10. How many members were present and registered during the Kiwanis Night? (please
write the names at the back of this paper)
11. Does your club submits its monthly report online and on time? District Report?
“Kiwanis is a global organization of volunteers dedicated to improving the world, one child and one community at a time.”
Philippine Luzon District
Suite 6, Francisco Gold Condominium I
784 EDSA, 1102 Cubao, Quezon City, Philippines
Telephone No: 929-7727
12. How many projects have you completed this year on:
Community Service -
Youth Services -
Human and Spiritual Values -
Young Children Priority One -
Feeding Project -
Read Around the World -
Bring Up Grades (Bugs) -
Terrific Kids -
13. Does your club sponsored or co-sponsored in the opening of an SLP club?
14. What is your club's signature project?
15. How many billboards, markers or signages were installed or erected by your club?
16. How many articles or write ups have you submitted for “Ang Kiwanian”?
17. How many fundraising projects have you conducted this year?
18. How much have you donated to the MNT Project?
19. When did you pay your District dues? How many members?
When did you pay your KI dues? How many members?
“Kiwanis is a global organization of volunteers dedicated to improving the world, one child and one community at a time.”