CMO 63 S 2017 Local Off Campus Activities Form
CMO 63 S 2017 Local Off Campus Activities Form
CMO 63 S 2017 Local Off Campus Activities Form
CERTIFICATE OF COMPLIANCE
This is to certify that all the processes, procedures and requirements before the conduct of the off-campus
activity/ies pursuant to CMO No. 63, s. 2017 entitled “Policies and Guidelines on Local Off-campus
Activities” have been duly complied with, and that by virtue thereof, we hereby assume full responsibility
for the safety and welfare of the students.
Approved by:
Notary Public
REPORT OF COMPLIANCE
BASIC INFORMATION:
LIST OF
PROGRAM DESTINATION/S INCLUSIVE NUMBER OF
COURSE PERSONNEL-IN-
NAME AND VENUE DATES STUDENTS
CHARGE
BASIC INFORMATION:
NUMBER
PROGRA LIST OF
COURS DESTINATION/ INCLUSIV OF
M PERSONNEL
E S AND VENUE E DATES STUDENT
NAME -IN-CHARGE
S
CpE Cagayan – Iligan November Pusta, Reena
BS CpE 9
536L – Cebu 5 – 9, 2018 Ross
EcE Cagayan – Iligan November Montoya,
BS EcE 7
536F – Cebu 5 – 9, 2018 Kristine Anne
Cagayan – Iligan November
BS EE EE 536F 23 Mutoc, Jerald
– Cebu 5 – 9, 2018
Recommendation
Personnel-in-charge
Approved by: