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Project P25 Membership Form

This document outlines a membership and commitment form for Project P25, a program of the Division of Misamis Oriental. It requests personal information from applicants such as name, address, marital status, age, contact number, and names and ages of children. It also asks applicants to designate up to two authorized beneficiaries to receive any financial assistance from Project P25 in the event of the applicant's loss as a teacher or staff member. Applicants commit to contributing P25 pesos in this event and P5,000 as a lifetime membership fee upon retirement. The form is to be signed by the applicant and approved by the Project P25 president.

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32 views1 page

Project P25 Membership Form

This document outlines a membership and commitment form for Project P25, a program of the Division of Misamis Oriental. It requests personal information from applicants such as name, address, marital status, age, contact number, and names and ages of children. It also asks applicants to designate up to two authorized beneficiaries to receive any financial assistance from Project P25 in the event of the applicant's loss as a teacher or staff member. Applicants commit to contributing P25 pesos in this event and P5,000 as a lifetime membership fee upon retirement. The form is to be signed by the applicant and approved by the Project P25 president.

Uploaded by

dee karl
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
Region X
DIVISION OF MISAMIS ORIENTAL
Del Pilar-Velez Sts., Cagayan de Oro City
Website: [Link]
Contact Numbers: (08822)724615/ (088)8564454
Fax: 856-4524

DIVISION OFFICE PERSONNEL

Project P25
MEMBERSHIP AND COMMITMENT FORM

Name: _______________________________________________________
1 x 1 PHOTO
Address ______________________________________________________
Single ____ Married ____ Separated _____ Widow _____
Age: ____ Male ____ Female ______
Name of Spouse: ___________________________________________
Address: _________________________________________________
Contact Number: _______________________________________________

Name of Children:
Name Age
1.____________________________________ ______
2.____________________________________ ______
3.____________________________________ ______
4.____________________________________ ______
5.____________________________________ ______

Beneficiary/Person authorized to received the total amount of Financial Assistance from Project
P25 membership.

Authorized Beneficiary #1

Name Relation Age


1.____________________________________ ____________ ______
Authorized Beneficiary #2
2.____________________________________ ____________ ______

CERTIFICATION
TO WHOM IT MAY CONCERN:

I,____________________________________________ , of legal age an employee of DepEd


Misamis Oriental whose name, signature and designated heir found below hereby certify/affirm
my membership/commitment to join as member of Project 25. That in the event of LOSS of a
teacher and non-teaching staff, we willfully give and commit ourselves to share P25 pesos.

And in the event of retirement, we hereby commit again ourselves to contribute Five
Thousand pesos as Lifetime Membership Fee of Project 25.

Done this ____day of ______________, 20___, at ______________________________________,


Cagayan de Oro City

__________________________________________
Name and Signature Over Printed Name
(MEMBER)
APPROVED:
__________________________________________
President
ggr20

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