Scribd Logo
Upload

Welcome to Scribd!

  • 209 views

    (ENTRY FORM) Gawad Bienvenido Lumbera 2022

    Uploaded by

    Irin200
    The document is an official entry form for the Gawad Bienvenido Lumbera National Literary Contest. It requests information such as the author's name, contact details, and a certification that the submitted work has not been previously published or awarded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    (ENTRY FORM) Gawad Bienvenido Lumbera 2022

    Uploaded by

    Irin200
    209 views1 page
    The document is an official entry form for the Gawad Bienvenido Lumbera National Literary Contest. It requests information such as the author's name, contact details, and a certification that the submitted work has not been previously published or awarded.

    Original Description:

    Gawad Bienvenido Lumbera 2022 Entry Form

    Original Title

    [ENTRY FORM] Gawad Bienvenido Lumbera 2022

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is an official entry form for the Gawad Bienvenido Lumbera National Literary Contest. It requests information such as the author's name, contact details, and a certification that the submitted work has not been previously published or awarded.

    Copyright:

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

    (ENTRY FORM) Gawad Bienvenido Lumbera 2022

    Uploaded by

    Irin200
    The document is an official entry form for the Gawad Bienvenido Lumbera National Literary Contest. It requests information such as the author's name, contact details, and a certification that the submitted work has not been previously published or awarded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    GAWAD BIENVENIDO LUMBERA:

    NCLA NATIONAL LITERARY CONTEST 2022


    OFFICIAL ENTRY FORM
    (This form must be notarized.)

    TITLE OF ENTRY CATEGORY DIVISION

    BASIC INFORMATION

    Author’s Name :
    Age :
    Date of Birth :
    Place of Birth :
    Gender :
    Civil Status :

    CONTACT INFORMATION

    Address :

    Landline :
    Mobile No. :
    Email :

    I am hereby entering the work listed above in the 2022 GAWAD BIENVENIDO LUMBERA: NCLA NATIONAL LITERARY CONTEST. I warrant that I
    have solely written the work and that I am the absolute owner of the copyright(s) and other intellectual property rights pertaining to the work. I certify that
    the work has not been published nor awarded and has not been submitted to any award-giving body this year, 2022.

    Author’s Printed Name Author’s Signature

    ACKNOWLEDGMENT
    Republic of the Philippines)
    ) S.S.

    BEFORE ME, this _____ day of _____________________, in ______________________, Philippines, personally appeared:

    Name Government-issued Evidence of Identity Date/Place of Issue/Validity Period

    known to me and to me known to be the same person/s who executed the foregoing instrument and who acknowledged to me that the same is his/her/their voluntary
    and free act and deed.

    Doc. No. _;
    Page No. _;
    Book No. _;
    Series of 202_.

    You might also like