CITY OF SAN FERNANDO, LA UNION
REGISTRATION OF YOUTH ORGANIZATION AND YOUTH SERVING
ORGANIZATION
CSF-RYO-Ctrl#-______
NAME OF ORGANIZATION: STUDENT CRIME AND ACCIDENT PREVENTION COUNCIL
TYPE OF ORGANIZATION:
COMMUNITY BASED SCHOOL BASED SPIRITUAL BASED OTHERS (SPECIFY)
✔
BRIEF DESCRIPTION OF THE
ORGANIZATION:
ADDRESS: Catbangen, City of San Fernando, La Union
EMAIL ADDRESS:
[email protected] CONTACT NUMBER:
ADVISER/FOCAL PERSON: Reymar G. Malicsi
DATE FOUNDED: August, 2017
NUMBER OF MEMBERS:
LIST OF OFFICERS:
POSITION FULL NAME (LAST, FIRST, MIDDLE) CONTACT NUMBERS
PRESIDENT BERNARDO, SAMANTHA C. 0966-279-5975
PLEASE CHECK
VICE (✓) THE CORE ADVOCACIES
PRESIDENT /CENTERS
JUANCITO, FREDDIE Jr.,FOR
M. PARTICIPATION THAT APPLIES IN YOUR
ORGANIZATION:
SECRETARY ROGERO, JUSTINE JOY F.
TREASURER MAYOH, JAN LHURD G.
✓BOARD OF DIRECTORS
CENTERS FOR PARTICIPATION
1. ✓ CENTERS FOR PARTICIPATION
EDUCATION 2. GOOD GOVERNANCE
HEALTH 3. ACTIVE CITIZENSHIP
ECONOMIC EMPOWERMENT
4. ENVIRONMENT
SOCIAL INCLUSION AND
5. EQUITY GLOBAL MOBILITY
PEACE BUILDING AND SECURITY SPIRITUAL DEVELOPMENT
ORGANIZATION’S MAJOR
ACCOMPLISHMENT:
ACCOMPLISHED BY: DATE ACCOMPLISHED:
REMINDERS:
1. PRINT ALL ENTRIES
2. CHECK LEGIBLY ON THE APPROPRIATE BOX
3. PLEASE ATTACH TO THIS REGISTRATION FORM THE ORGANIZATION’S LIST OF MEMBERS WITH THEIR
CONTACT NUMBERS
4. SUBMIT THE ACCOMPLISHED REGISTRATION FORM TO THE LOCAL YOUTH DEVELOPMENT OFFICE ON OR
BEFORE NOVEMBER 20, 2020