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2011 UP STUDENT REGENT SELECTION

CERTIFICATEF ACCEPTANCE"
(For University Search Committee)

I, Fertn.orA 4· ~J'Vd() a bonafide student 0


fAf -IJ /Umran officially accept the nomi tion for
Student Regent of the University of the Philippines System for Academic Year 2011-2012.

With this acceptance, I bind myself to the procedures involved in the Selection of the Student
Regent. I shall provide the necessary information required in the process-and shall make myself available
for ay appearance before the College Student Council and/or the Univesity Student Council and/or the
General Assembly of students as may be requested.

Furthermore, I certify upon my honor that I satisfy the minimum qualifications for Student
Regent as specified in the Codified Rules for Student Re ent Selection.

S~:Jd2nt Number

Oa e

Right Thumb Mark Recent 2x2 Photograph

"This Certificate of Acceptance must be accompanied with a Vision Statement, Curriculum Vitae and biodata as stated in the
Codified Rules for Studen t Regent Selection

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