Science City of Muñoz, Nueva Ecija Philippines

Tel. No. (6344) 940-7030; Fax (6344) 456-0107E-mail Address: osa@clsu.edu.ph, clsu@clsu.edu.phURL: http://clsu.edu.ph

CENTRAL LUZON STATE UNIVERSITY Manila Office:

125 Narra St., Executive Town HomesUN Avenue, Manila, Philippines

TeleFax No. (632) 523-75-16

Date Filed: _____________

THE CHAIRPERSONBoard of Management for Student OrganizationCentral Luzon State UniversityScience City of Muñoz, Nueva Ecija

Sir/Madam :

We,__________________and_______________________president and adviser/s of __________________________________________________ will be held liable for violation of the university rule prohibiting Fraternities and Sororities, College Based Organization and Non College Based Organizations Campus Ministry from recruiting first year students and hazing activities. Violating this rule will be sanctioned accordingly as stipulated in the section 6, of the CLSU Student Code of Conduct and Discipline and R.A. No. 8049 also known as the Anti-Hazing Act.

___________________________________President

__________________________________Adviser

__________________________________Adviser

“Excellent service to humanity is our commitment.”

ACA.OSA.SOU.S.001 Revision No. 0; August 31, 2016)

ISO 9001:2008 CERTIFIED

Student Organizations Unit, Office of Student Affairs