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    SY 2020-2021 NDA Nominee's Information Sheet

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    Noli Antallan
    This document contains a nomination form for the National Discipline Award, which honors students for their discipline. The form requests personal information about the nominee such as name, address, birthdate, religion, parents' names, skills, and education history. It also lists required attachments including a photo, essay, and signature of the screening committee head to verify the nomination. The deadline to submit complete nomination documents is February 26, 2020.

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    Download as PDF, TXT or read online from Scribd

    SY 2020-2021 NDA Nominee's Information Sheet

    Uploaded by

    Noli Antallan
    99 views1 page
    This document contains a nomination form for the National Discipline Award, which honors students for their discipline. The form requests personal information about the nominee such as name, address, birthdate, religion, parents' names, skills, and education history. It also lists required attachments including a photo, essay, and signature of the screening committee head to verify the nomination. The deadline to submit complete nomination documents is February 26, 2020.

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    This document contains a nomination form for the National Discipline Award, which honors students for their discipline. The form requests personal information about the nominee such as name, address, birthdate, religion, parents' names, skills, and education history. It also lists required attachments including a photo, essay, and signature of the screening committee head to verify the nomination. The deadline to submit complete nomination documents is February 26, 2020.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    99 views1 page

    SY 2020-2021 NDA Nominee's Information Sheet

    Uploaded by

    Noli Antallan
    This document contains a nomination form for the National Discipline Award, which honors students for their discipline. The form requests personal information about the nominee such as name, address, birthdate, religion, parents' names, skills, and education history. It also lists required attachments including a photo, essay, and signature of the screening committee head to verify the nomination. The deadline to submit complete nomination documents is February 26, 2020.

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    © All Rights Reserved
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    NATIONAL DISCIPLINE AWARD

    NOMINEE’S INFORMATION SHEET


    School Year 2020 - 2021

    PERSONAL DATA
    NAME (PRINT: LAST NAME, FIRST NAME, MIDDLE NAME) REGION:

    COMPLETE HOUSE ADDRESS

    Staple here
    MOBILE NUMBER EMAIL ADDRESS
    2 identical copies of
    2” x 2”
    TELEPHONE NUMBER (INDICATE AREA CODE) DATE OF BIRTH AGE GENDER
    colored photo
    with white background
    RELIGION PLACE OF BIRTH CITIZENSHIP

    FATHER'S NAME (PRINT: LAST NAME, FIRST NAME, MIDDLE NAME) OCCUPATION

    CONSENT:
    MOTHER'S NAME (PRINT: LAST NAME, FIRST NAME, MIDDLE NAME) OCCUPATION This is to allow AY Foundation (AYF) to use the photo
    provided above for any lawful purpose, including for example
    such purposes as publicity, illustration, advertising, website
    SPECIAL SKILLS OR TALENTS: content, and activities related to AYF's National Discipline
    Awards.

    SIGNATURE OF GUARDIAN OVER PRINTED NAME

    EDUCATIONAL PROFILE
    SENIOR HIGH SCHOOL NAME EXPECTED DATE OF GRADUATION

    SENIOR HIGH SCHOOL COMPLETE MAILING ADDRESS NEAREST LBC BRANCH

    SHS EMAIL ADDRESS SHS TELEPHONE NUMBER SHS FAX NUMBER

    JUNIOR HIGH SCHOOL NAME YEAR FINISHED

    ELEMENTARY SCHOOL NAME YEAR GRADUATED

    AWARDS AND RECOGNITIONS RECEIVED

    PREFERRED SCHOOL IN COLLEGE

    PREFERRED COURSE IN COLLEGE

    IMPORTANT: See NDA Guidelines


    ATTACHMENTS: for more details.
    ❑ Duly Accomplished Nominee’s Information Sheet
    ❑ Essay written by the nominee with the title “As A National Discipline Awardee, What Can I Do To
    Make This Country A Better Place To Live In?”
    ❑ Basis for Selection of the Nominee duly signed by the head and all the members of the final
    screening committee
    ❑ Two (2) identical copies of the nominee’s 2” x 2” colored photo with white background NOMINEE'S SIGNATURE OVER PRINTED NAME
    ❑ Photocopy of the school ID of the nominee, the head, and all the members of the final Screening
    Committee

    Deadline of submission of complete documents is on FEBRUARY 26, 2020. DATE SIGNED


    Unsigned documents, incomplete requirements and late submission will not be honored.

    FOR AY FOUNDATION'S USE ONLY I declare that this nomination has been made in good faith, verified by the school’s screening
    DETAILS OF RECEIPT: committee, and to the best of our knowledge and belief, is true and correct pursuant to the selection
    guidelines of the AY Foundation National Discipline Award for the school year 2020-2021.

    PRINCIPAL / SCREENING COMMITTEE HEAD'S SIGNATURE OVER PRINTED NAME DATE SIGNED

    RECEIVED FROM:
    MODE: E-MAIL ADDRESS MOBILE NUMBER TELEPHONE NUMBER

    DATE: TIME:

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