Track 3 Energy Innovation Reg Form

TRACK 3_Energy Innovation_reg form
CHECKLIST
Note: Checklist should be the top sheet of all documentary requirements for application.
Application letter
Registration form
Entry form
Modes of verification specific for each competition track.
TRACK 3
__ Prototype of a proposed product or ICT application.
__ Programming codes
__ If product has received a national recognition, provide picture or certificate of the
award.
Scanned copy of participants’ and mentors’ ID (back to back) in one image. – The
scanned copy should include the front and the back copy of the valid identification card
of the three (3) team members with birthdays.
Scanned copy of Endorsement letter for the team. – All entries must be endorsed by the
schools’ heads and/or heads of organization that is represented by the team. All pages of
the letter should be scanned with good resolution in .pdf format.
Parents’ consent for participants below 18 years old.
Data privacy form
Child protection form
Upload all forms in your team’s YES website account.
For clarification and/or more information, please contact the YES secretariat at:
Email: admin@yes.energyed.ph
Tel: (032) 416-4624 to 26
ANNEX 1
REGISTRATION FORM
NOTE: Input names as reflected in your valid Government-issued or school ID
School: LANAO DEL NORTE NATIONAL COMPREHENSIVE HIGH SCHOOL

Region: X Division: LANAO DEL NORTE
Complete Address: STO. NIŇO VILLAGE, BAROY, LANAO DEL NORTE
Contact Number: 0917-712-9193 Email address: sjmaglangit.16@gmail.com
School head: SUPERIANO MAGLANGIT
GROUP INFORMATION
Team Name: SINAG: SOLAR INTEGRATION TO NURTURE AFFORDABLE GROWTH
Team Leader
Name: MARGIE ROSELLE G. OPAY
Complete Address: P-2 BAG-ONG DAWIS, BAROY, LANADO DEL NORTE
Religion: BORN AGAIN Age: 17 Gender: FEMALE
Contact Number/s: 09262165987 Email address:
margieopay12@gmail.com
Diet Restrictions: NONE
Team Member
Name: ROLANDO N. BANQUIL JR.
Complete Address: P-2 MALINGAO, TUBOD, LANAO DEL NORTE
Religion: ROMAN CATHOLIC Age: 17 Gender: MALE
Contact Number/s: 0997-220-7169 Email address:
rolandobanquil258@gmail.com
Team Member
Name: SUPRIAN JAY A. MAGLANGIT
Complete Address: MALINGAO, TUBOD, LANAO DEL NORTE
Religion: BAPTIST Age: 17 Gender: MALE
Contact Number/s: 0905-037-3282 Email address: sjmaglangit.16@gmail.com
Team Mentor
Name: STEPHEN V. TABAL
Complete Address: SAN JOSE, AURORA, ZAMBOANGA DEL SUR
Religion: ROMAN CATHOLIC Age: 36 Gender: MALE
Contact Number/s: 0917-710-9328 Email address: etiennet28@gmail.com
By submitting this form, we confirm that we have read and agreed to the guidelines of Youth Energy
Summit.
MARGIE ROSELLE G. OPAY

TEAM LEADER
Noted by:
STEPHEN V. TABAL_______
TEAM MENTOR
ANNEX 2
ENTRY FORM
Team Name:
SINAG: Solar Integration to Nurture Affordable Growth
Competition Track:
Track 3: Energy Innovation
Project Title:
Solar Tracking System for Energy Efficiency of Solar Panel Using Arduino
Project Brief (not exceeding 1000 words)
Track 3
(1) Keywords – It should contain three keywords which are the overall focus and theme of the
project. It should support the validity of your chosen track.
(2) Introduction – a brief overview on the purpose of the project and relevance of the innovation
to either any of the two categories: efficient use of energy or access to energy to the
community
(3) Methodology – brief details on how the innovation was devised
(4) Photos of the innovation prototype with identifiers of specific parts and its functions
Monitoring and Evaluation Measures (not exceeding 500 words)

List and briefly explain milestones of your project and specific indicators of its success
Sustainability Plans (not exceeding 1000 words)
Identify steps to ensure that the project will be sustained.
ANNEX 3
Endorsement Letter
October 21, 2019
To: Youth Energy Summit (YES) Secretariat

c/o Coalition for Better Education
Tel: (032) 416-4624 to 26
Subject: Endorsement for Solar Tracking System for Energy Efficiency of Solar Panel Using Arduino
In my capacity and authority as School Head Principal II of Lanao del Norte National Comprehensive
High School, I confirm that the project of Team SINAG is in accordance with the goal of YES to create
relevant solutions on issues about access to and efficient use of energy.
Accordingly, I am pleased to endorse the above project/programme as our school’s official entry in
the Youth Energy Summit competition under the track Energy Innovation.
Sincerely,
Superiano Maglangit
School Head Principal II
09177129193
ANNEX 4
DATA PRIVACY CONSENT FORM
CONSENT FORM
The Youth Energy Summit (YES) organizers, comprised of One Meralco Foundation and Coalition for Better Education, are expected to
produce a range of communications resources to provide reports, publish and communicate to our stakeholders on the
implementation and conduct of YES. By completing this form, you give us permission to use your personal information in our
communications for the next five (5) years. Thank you for your help.
Full name STEPHEN V. TABAL

Position/title MASTER TEACHER I
Company/Organization DEPED-LNNCHS
Age 36
Work Address STO. NINO VILLAGE, BAROY LANAO DEL NORTE
Postcode 9210
Home Address SAN JOSE, AURORA, ZAMBOANGA DEL SUR
Postcode 7020
Telephone mobile: 0917-710-9328 Landline: N/A
Email Work: N/A Personal: etiennet28@gmail.com
What will my personal details be used for? (Please tick the options you are happy with)
Presentations: YES’ internal and external presentations / reports
Websites: YES’ website and intranet
Social media: YES’ social media pages [Facebook, Twitter, Viber]
Publications: YES’ leaflets, posters, newsletters and other marketing materials (i.e billboards, vidwalls)
Print and online media: international, National, regional and local papers; magazines and news sites
Television and radio: International, National and regional television; national, regional and local radio
Can I remain anonymous?

You can choose to have your real name published with your story or remain anonymous (in which case, we will use a false name).
Please tick one of the following options:
I am happy for my real name to be used I do not want my real name to be used
Please tick this box if you ALLOW us to feature you in photo and/ or video footage
Are there any identifying features you do NOT want included in our communications work? For example, your location or your age
Please let us know if there are any ways in which you do NOT wish to be represented or described: (please use 2nd page for more
details): _______________________________________________________________________________
_________________________________________________________________________________________________________
I am happy to give my permission
Please sign this form to show you are happy to give permission for your story and personal details to be used by One Meralco
Foundation (OMF) and Coalition for Better Education (CBE), YES Organizers, for the purposes outlined above. Your story will not be
used or stored for any longer than five (5) years, unless you ask us to stop using it before then.
Signature Date
If you are under 18, we need written permission from a parent, guardian or responsible adult.
Signature Date
Data protection:
1. The information that you provided here will only be used to contact or feature you in our communications work in the Energy
Education Program of One Meralco Foundation;
2. On this note and with your permission, we, YES Organizers, will only feature your image/video, name, position and affiliated
company;
3. We will not pass the other details recorded on this form on to any other organization without your permission;
4. We will not store your data for any longer than above indicated length of time.
ANNEX 4
CONSENT FORM
Full name MARGIE ROSELLE G. OPAY

Position/title N/A
Company/Organization N/A
Age 17
Work Address N/A
Postcode N/A
Home Address P-2 BAG-ONG, DAWIS, BAROY LANAO DEL NORTE
Postcode 9210
Telephone mobile: 0926-216-5987 Landline:
Email Work: N/A Personal: margieopay12 @gmail.com

details): _______________________________________________________________________________
_________________________________________________________________________________________________________
Signature Date
Signature Date
Data protection:
company;
ANNEX 4
CONSENT FORM
Full name SUPRIAN JAY A. MAGLANGIT

Position/title N/A
Age 17
Work Address N/A
Postcode N/A
Home Address MALINGAO, TUBOD LANAO DEL NORTE
Postcode 9210
Email Work: N/A Personal: sjmaglangit.16@gmail.com

C

details): _______________________________________________________________________________
_________________________________________________________________________________________________________
Signature Date
Signature Date
Data protection:
company;
ANNEX 4
CONSENT FORM
Full name ROLANDO N. BANQUIL JR.

Position/title N/A
Age 17
Work Address N/A
Postcode N/A
Home Address MALINGAO, TUBOD LANAO DEL NORTE
Postcode 9210
Email Work: N/A Personal:
rolandobanquil258@gmail.com

C
Print and online media: international, National, reg1ional and local papers; magazines and news sites

details): _______________________________________________________________________________
_________________________________________________________________________________________________________
Signature Date
Signature Date
Data protection:
company;
ANNEX 5
CHILD PROTECTION PRIVACY FORM
Consent form for the use of photographs or video (Parents and children).
The Youth Energy Summit (YES) Organizers, comprised of One Meralco Foundation and Coalition for
Better Education, recognise the need to ensure the welfare and safety of all young people taking part
this competition.
In accordance with our child protection policy we will not permit photographs, video or other images
of young people to be taken without the consent of the parents/carers and children. As your child will
be taking part in the YES competition which will run from June 2019 to January 2020, we would like to
ask for your consent to take photographs/videos during the entire course of the competition that
may contain images of your child. It is likely that these images may be used as
 a record of the activity or the event
 in a written evaluation report of the activity or event that will be viewed by CBE and One
Meralco Foundation
 publicity material for further activities or events on leaflets/websites/magazines
 illustrations of the activities or events in published articles
 future grant applications
YES Organizers will take all steps to ensure these images are used solely for the purposes they are
intended. If you become aware that these images are being used inappropriately, do inform us
immediately thru the following:
Tel: (032) 416-4624 to 26
.PARENT/GUARDIAN’S CONSENT
I ___ ROSALIE G. OPAY _______________________ consent my daughter, to YES Organizing

Team to take photographs or videos of _MARGIE ROSELLE G. OPAY_ .
Date: _______________________________
STUDENT/PUPIL’S CONSENT
I ______ __MARGIE ROSELLE G. OPAY__________________ consent to YES organizers photographing

or videoing my involvement in the YES competition.
Date: ______________________________
ANNEX 5
this competition.
Meralco Foundation
Tel: (032) 416-4624 to 26
I ________SUPERIANO A___________________ ____________________________ (name of parent/guardian)

____________ consent ____________ do not consent YES Organizing Team to take photographs or
videos of __________________________________(name of pupil/student)
Date: _______________________________
I _________________________________________(name of student) consent to YES organizers photographing

Date: ______________________________
ANNEX 5
this competition.
Meralco Foundation
Tel: (032) 416-4624 to 26
I ___________________________ ____________________________ (name of parent/guardian) ____________ consent

____________ do not consent YES Organizing Team to take photographs or videos of
__________________________________(name of pupil/student)
Date: _______________________________
I _________________________________________(name of student) consent to YES organizers photographing

Date: ______________________________
ANNEX 6
CONSENT FORM FOR MINOR PARTICIPANTS
I, the undersigned, certify that I am the parent or legal guardian of ______________________. I hereby
authorize my minor child named above to attend and participate in the Youth Energy Summit (YES)
competition organized by One Meralco Foundation (OMF) and Coalition for Better Education (CBE).
I acknowledge that participation in such activities involves certain dangers and risks which may
expose my child to hazards of bodily injury or property damage. Accordingly, I warrant that my child
is capable of withstanding both the physical and mental demands associated with the Competition. I
shall not hold responsible the YES Organizers and other proponents of the said Competition for any
untoward incidents that may arise. Furthermore, I am freeing them from any related liability
whatsoever.
I sign this document to signify my agreement to the rules and guidelines of the competition my child
intends to participate in. I further agree to execute any additional form(s) that may be required with
regard to my child’s participation in the Competition.
CONFORME:
_____________________________________ ________________________
SIGNATURE OVER PRINTED NAME DATE
ANNEX 6
whatsoever.
CONFORME:
_____________________________________ ________________________
ANNEX 6
whatsoever.
CONFORME:
_____________________________________ ________________________
ANNEX 7
DISPLAY BOARD DIMENSIONS
TRACK 3

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TRACK 3_Energy Innovation_reg form

Upload all forms in your team’s YES website account.

NOTE: Input names as reflected in your valid Government-issued or school ID

School: LANAO DEL NORTE NATIONAL COMPREHENSIVE HIGH SCHOOL

Diet Restrictions: NONE

MARGIE ROSELLE G. OPAY

Monitoring and Evaluation Measures (not exceeding 500 words)

October 21, 2019

To: Youth Energy Summit (YES) Secretariat

Full name STEPHEN V. TABAL

Presentations: YES’ internal and external presentations / reports

Websites: YES’ website and intranet

Social media: YES’ social media pages [Facebook, Twitter, Viber]

Can I remain anonymous?

Full name MARGIE ROSELLE G. OPAY

Presentations: YES’ internal and external presentations / reports

Websites: YES’ website and intranet

Social media: YES’ social media pages [Facebook, Twitter, Viber]

Can I remain anonymous?

DATA PRIVACY CONSENT FORM

Full name SUPRIAN JAY A. MAGLANGIT

Presentations: YES’ internal and external presentations / reports

Social media: YES’ social media pages [Facebook, Twitter, Viber]

Can I remain anonymous?

DATA PRIVACY CONSENT FORM

Full name ROLANDO N. BANQUIL JR.

Presentations: YES’ internal and external presentations / reports

Social media: YES’ social media pages [Facebook, Twitter, Viber]

Can I remain anonymous?

CHILD PROTECTION PRIVACY FORM

 a record of the activity or the event

 publicity material for further activities or events on leaflets/websites/magazines

 illustrations of the activities or events in published articles

 future grant applications

I ___ ROSALIE G. OPAY _______________________ consent my daughter, to YES Organizing

I ______ __MARGIE ROSELLE G. OPAY__________________ consent to YES organizers photographing

CHILD PROTECTION PRIVACY FORM

 a record of the activity or the event

 publicity material for further activities or events on leaflets/websites/magazines

 illustrations of the activities or events in published articles

 future grant applications

I ________SUPERIANO A___________________ ____________________________ (name of parent/guardian)

I _________________________________________(name of student) consent to YES organizers photographing

CHILD PROTECTION PRIVACY FORM

 a record of the activity or the event

 publicity material for further activities or events on leaflets/websites/magazines

 illustrations of the activities or events in published articles

 future grant applications

I ___________________________ ____________________________ (name of parent/guardian) ____________ consent

I _________________________________________(name of student) consent to YES organizers photographing

CONSENT FORM FOR MINOR PARTICIPANTS

CONSENT FORM FOR MINOR PARTICIPANTS

CONSENT FORM FOR MINOR PARTICIPANTS

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I _ ROSALIE G. OPAY _____________________ consent my daughter, to YES Organizing

I MARGIE ROSELLE G. OPAY______________ consent to YES organizers photographing

I SUPERIANO A_ __________________ (name of parent/guardian)

I ___________ (name of parent/guardian) consent