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Registration Form

This document appears to be a registration form for an event, requesting the participant's name, age, birthday, school, organization, contact information, and whether they are faculty, student, or other. It provides the different registration fee amounts depending on the registration date, with early bird, regular, late, and on-site fees listed. The registration includes a certificate of attendance, kits, lunch, and afternoon snacks. The participant signs to confirm the information is correct.

Uploaded by

GJ Carson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
59 views1 page

Registration Form

This document appears to be a registration form for an event, requesting the participant's name, age, birthday, school, organization, contact information, and whether they are faculty, student, or other. It provides the different registration fee amounts depending on the registration date, with early bird, regular, late, and on-site fees listed. The registration includes a certificate of attendance, kits, lunch, and afternoon snacks. The participant signs to confirm the information is correct.

Uploaded by

GJ Carson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Name: __________________________________________

Age: _________

Birthday: __________________________

School: ________________________________________

Organization: __________________________________

Mobile Number: ________________________________

Landline: _____________________________

Email Address: _________________________________

Faculty Student Other ______________


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Payment thru Bank Deposit: BDO Peso Account No. 004950381981
Step Up Int’l Services Inc. (Robinson’s Galleria Branch)

Early Bird Registration 800php July 15 – August 20, 2014


Regular Registration 1000php August 21 – August 31, 2014
Late Registration 1,200php September 1– September 8, 2014
On Site Registration 1,5000php

Inclusions of Certificate of Attendance, Kits, Lunch, PM snacks


-------------------------------------------------------------------------------------------------------
I hereby certify that the above information are true and correct to the best of my
knowledge.

CONFORME:
________________________
Participant:

(Signature over printed Name)

*Please note of clarity and complete names for certificate purposes.


Email registration preferably.

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