Humss Membership
Humss Membership
Humss Membership
Department of Education
Region III-Central Luzon
Schools Division of Bulacan
San Miguel National High School
I. Personal Information
NAME Please one letter in each box. Leave one box blank between names.
Last Name
First Name
Middle Name
___________________________________________________________________
II. Membership
1. HUMANITIES AND SOCIAL SCIENCES CLUB
Club or Organization (Please do not abbreviate) _______________________________________
2. Current Position _______________________
3. Club Adviser __________________________
ROWENA V. SAN JUAN
4. ALEXANDER L. DE LAZO
Club Co-Adviser __________________________
I certify that I am bona fide officer of San Miguel National High School. I,
whose name and other personal details are herein stated, do hereby file
Membership Form for the school year 2024-2025. I further state that I am bona fide
officer of this school with good moral character and I will abide with the school rules
and guidelines. I hereby certify that the facts stated herein are true and correct to
the best of my knowledge.
__________________________________
Signature of Officer over Printed Name
____________________________________________
_______________________________________ _______________________________________
ROWENA V. SAN JUAN ALEXANDER L. DE LAZO
Signature over Printed Name of Club Adviser Signature over Printed Name of Club Co-Adviser
Membership Form for Humanities and Social Sciences Club (HUMSS Club)
Prepared by:
MELODY L. SOLIS
President
Checked:
Noted:
Approved: