CMO 63 S 2017 Local Off Campus Activities Form

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

UNIVERSITY OF MINDANAO TAGUM COLLEGE

LOCAL OFF-CAMPUS ACTIVITIES

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.

Certified Correct: Recommending approval:

REENA ROSS E. PUSTA, CpE, LPT FELY D. RABACA


VP – External Affairs (Branches)
JERALD M. MUTOC, REE

KRISTINE ANNE P. MONTOYA, ECE DR. EUGENIO S. GUHAO JR.


Vice President for Academic Affairs
Personnel – in – charge

Approved by:

DR. GUILLERMO P. TORRES JR


President – University of Mindanao

SUBSCRIBED AND SWORN to before me, this ____________________, by ____________________ who


exhibited to me (his/her) competent proof of identification ______________________issued at
_________________, Philippines on ___________________.

Notary Public

Doc. No. _________;


Page No. _________;
Book No. _________;
Series of _________;
Republic of the Philippines
Office of the President
COMMISSION ON HIGHER EDUCATION

LOCAL OFF-CAMPUS ACTIVITIES

REPORT OF COMPLIANCE

NAME OF HEI: MANUEL S. ENVERGA UNIVERSITY FOUNDATION REGION: IV-A


ADDRESS: University Site, Brgy. IbabangDupay
Lucena City

BASIC INFORMATION:
LIST OF
PROGRAM DESTINATION/S INCLUSIVE NUMBER OF
COURSE PERSONNEL-IN-
NAME AND VENUE DATES STUDENTS
CHARGE

REPORT BEFORE THE ACTIVITY:


ACTIVITIES COMPLIANCE
YES/NO REMARKS
1. Curriculum Requirement
2. Destination
3. Handbook or Manual
4. Students’ Consent of the
Parents/Guardians

Medical Clearance of the Students


5. Personnel-In-Charge
6. First Aid Kit
7. Fees/Funds
8. Insurance
9. Mobility of Student (vehicles)
Owned by the HEI
Third Party or Subcontracting
Franchisee/Travel Agency/ Tour Operator
10. LGUs/NGOs
11. Activities
Orientation to students
Consultation
Announcements
Briefing before the trip
Learning Journals
Emergency Preparedness Plan

Certified Correct: Recommending approval:

______________________ DR. BENILDA N. VILLENAS


Personnel-In-Charge Vice President for Academic Affairs

Reviewed by: Approved by:

_______________________ NAILA E. LEVERIZA


Dean or Program Head President/Head of HEI/Authorized Representative
Republic of the Philippines
Office of the President
COMISSION ON HIGHER EDUCATION

LOCAL OFF-CAMPUS ACTIVITIES

COMPREHENSIVE SEMESTRAL/TERM REPORT

NAME OF HEI: UNIVERSITY OF MINDANAO – TAGUM REGION: XI


ADDRESS: Mabini St., Brgy Magugpo South, Tagum City
Davao del Norte

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

Problems encountered and actions taken to address the situation


No problem encountered during the whole duration of the trip.

Recommendation

Certified Correct: Recommending approval:

JERALD M. MUTOC, REE FELY D. RABACA


VP – External Affairs for Branches
KRISTINE ANNE P. MONTOYA, EcE
DR. EUGENIO S. GUHAO JR.
REENA ROSS E. PUSTA, CpE, LPT VP – Academic Affairs

Personnel-in-charge

Approved by:

DR. GUILLERMO P. TORRES, JR.


President/Head of HEI/Authorized Representative

You might also like