Unit 2, 4th Floor, España Place building, 1139 Adelina Street Corner España Boulevard,

Sampaloc Manila (Beside UST near Morayta Street)

(02) 241-4830 / 09228988626 / 09159626844

FREE SPECIAL LECTURE IN REMEDIAL LAW

May 28 & 29, 2018
At the Review University for Nurses (R.U.N.)
311 Ruiloba Street, Sta. Mesa, Manila

REGISTRATION FORM

(Please write in CAPITAL LETTERS) ID NO.: _____

NAME: ______________________________________________________________
(Surname) (First Name) (Middle Initial)

GENDER: ____________ BIRTHDATE: __________________________

ADDRESS: ____________________________________________________________

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SCHOOL: __________________________________ _ YEAR LEVEL: ________

***NO REGISTRATION FORM, NO FREE LECTURE!

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