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FR021 Request To Announce

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2020 Level 2

Recognition for
Proficiency In
SAMAR STATE UNIVERSITY Quality Management
Arteche Blvd., Catbalogan City, Philippines 6700
Office of the Director | University Publications
SSU-ODPUB-FR-021
11-FEB-2022 REV 2

REQUEST TO ANNOUNCE REQUEST TO ANNOUNCE

_____________ _____________

Date Date

Information of Requesting Party Information of Requesting Party


Name: _______________________________________ Name: _______________________________________
Office/Agency: _________________________________ Office/Agency: _________________________________
Address & Contact Details ________________________ Address & Contact Details ________________________
____________________________________________ ____________________________________________
Details to be announced: Details to be announced:
___________________________________________________ ___________________________________________________
___________________________________________________ ___________________________________________________
___________________________________________________ ___________________________________________________
For DYSY: For DYSY:

Internal New With Attachment Internal New With Attachment

External OId No Attachment External OId No Attachment

Received by: Received by:

________________________ Date _____ ________________________ Date _____

APPROVED: APPROVED:

________________________ Date _____ ________________________ Date _____

Website: www.ssu.edu.ph
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