UNITED ARCHITECTS OF THE PHILIPPINES STUDENT AUXILIARY – BOHOL ISLAND STATE UNIVERSITY CHAPTER

ORGANIZATIONAL MEMBERSHIP’S PROFILE

(Member’s Data Sheet)

*Please put “N/A” if Not Applicable.

SUFFIX (e.g
(FAMILY NAME) (FIRST NAME) (MIDDLE NAME) NICKNAME
JR)
1 NAME
Galeste Christine Niña Mejias Niña
YEAR LEVEL &
2
SECTION: 3-C COURSE: BS Architecture DEPARTMENT: CEA-ID
PLACE OF
3 DATE OF BIRTH: December 7, 2002 BIRTH: Tagbilaran City, Bohol
4 AGE: 20 SEX: Female HEIGHT: 5’2” WEIGHT: 60kg.
5 CIVIL STATUS: Single NATIONALITY: Filipino RELIGION: Roman Catholic
6 CONTACT NO.: 09195456933 EMAIL ADDRESS: ninagaleste32@gmail.com
CONTACT
7 HOME ADDRESS: Ponod Sawang, Guindulman, Bohol NO.: N/A
CONTACT
8 CITY ADDRESS: M. Torralba Street, CPG. Avenue, Tagbilaran City, Bohol NO.: N/A
9 LIVING WITH (PLEASE CHECK) [ / ] PARENTS [ ] GUARDIANS [ ] RELATIVES [ ] OTHERS
CONTACT
FATHERS NAME: Albino C. Galeste NO.: 09368266037
CONTACT
10 MOTHERS NAME: Evangeline M. Galeste NO.: 09263412209
GUARDIANS CONTACT
NAME: N/A NO.: N/A
IN CASE OF EMERGENCY
CONTACT
PERSONS NAME: Evangeline M. Galeste NO.: 09263412209
11 HOME ADDRESS: Ponod Sawang, Guindulman, Bohol
FACEBOOK LINK: https://www.facebook.com/evangeline.galeste EMAIL ADD.: vangiegaleste1971@gmail.com

OTHER ORGANIZATION/S WHERE YOU BELONG

BUGS- (BISU-MC United Guindulmanon Students)

INSIDE BISU MAIN
CAMPUS

N/A ADDRESS: N/A

OUTSIDE BISU MAIN
ADDRESS:
CAMPUS
ADDRESS:

ORGANIZATIONAL MEMBERSHIP’S AGREEMENT

I, Christine Niña M. Galeste , a student of BOHOL ISLAND STATE UNIVERSITY MAIN CAMPUS, do
hereby voluntarily agree of becoming a member of (STATE THE NAME OF THE ORGANIZATION).

Further, I understand, read, and acknowledge the Organization’s Constitution and By Laws.

That, I voluntarily agree to contribute to the funds of the aforementioned organization to support its goals and
endeavour for the studentry and to the community.

That, I shall participate to any activities and meetings being set by the organization thus for any unexpected
circumstances, an excuse letter will be given to the Organization President on or before the said event.

That, I shall be made answerable in all intentional and unintentional negligent acts that will ruin the figure of the
organization.

As I sign this Organization Membership’s Form, I am aware of my choice and I grant my permission to disclose my
information to the aforementioned organization.

__CHRISTINE NIÑA M. GALESTE__

SIGNATURE OVER PRINTED NAME