2010 I LOVE PINES, PHILIPPINES ESSAY WRITING CONTEST OFFICIAL ENTRY FORM
Instructions: (1) complete this form with clear printing, and answer all questions; (2) attach this entry form (or a
photocopy) to your essay. Be sure to carefully read all of the contest rules prior to submitting your entry. Failure to fully comply with all contest rules may result in the disqualification of your essay.
Name: ________________________________________________________
Address: ___________________________________________________________________________
City: _______________________________________________________________________________
Province: ______________________________________ Zip Code: ____________________________
Phone: _____________________________________________________________________________
E-mail: _____________________________________________________________________________
Age: __________________________________________
School Name: _______________________________________________________________________
School Address: _____________________________________________________________________
City: _______________________________________________________________________________
Province: ______________________________________ Zip Code: ____________________________
School Phone: _______________________________________________________________________
Name of Sponsoring Teacher (if any – not required):
___________________________________________________________________________________
Certificate of Authorship
I hereby certify that I am the sole author of the attached entry to the 2010 I Love Pines, Philippines Essay Writing Contest (the “Essay”) and that in writing my Essay I have not plagiarized or otherwise infringed upon the rights of any third parties.
______________________________________________________ _____________________________
(signature of student) (date)
Submit your essay and this entry form to:
Mr. Don M. Luman-ag
Winx Internet Café
McKinley Street, Pines,
7207 Oroquieta City
