Project 25 Commitment Form
Project 25 Commitment Form
Project 25 Commitment Form
Department of Education
Region X
DIVISION OF MISAMIS ORIENTAL
Del Pilar-Velez Sts., Cagayan de Oro City
Website: www.misor.net
Contact Numbers: (08822)724615/ (088)8564454
Fax: 856-4524
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
CERTIFICATION
TO WHOM IT MAY CONCERN:
And in the event of retirement, we hereby commit again ourselves to contribute Five
Thousand pesos as Lifetime Membership Fee of Project 25.
__________________________________________
Name and Signature Over Printed Name
(MEMBER)
APPROVED:
__________________________________________
President
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