M Pulido Engineering & Urban Planning Services

Five-day Environmental Planning Capacity Building,

“Enhancing Capacities of Planners: Raising the Bar in Planning practice in the Countryside.”
1st Batch February 17-18 and 23-25, 2018
2nd Batch February 21-25, 2018
REGISTRATION FORM

Name: ______________________________________________________________________
(Surname) (Firstname) (Middlename)
Address: _____________________________________________________________________
Contact Information: Telephone/Cellphone Number _________________________________
Email address: ____________________________________________
Name of Company:_____________________________________________________________
Address: _____________________________________________________________________
Position/Job Description: ________________________________________________________
_____________________________________________________________________________
Education: Baccalaureate Degree: _________________________________________________
Post-graduate degree: _________________________________________________
Profession:____________________________________________________________________

____________________________________
Signature above printed name
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ACKNOWLEDGEMENT

Date: _______________________________
RECEIVED FROM _________________________________________________________ the
amount of PESOS: _______________________________________________
(P________________) as registration to the Five-day Environmental Planning Capacity
Building, “Enhancing Capacities of Planners: Raising the Bar in Planning practice in the
Countryside” on February 10, 2018(venue Pearlmont Hotel).
Please check  appropriate box:
 Early-bird : P11,000
 Regular : P12,000
 Installment : _______________
______________________________________
Secretariat/Finance
Note: Official Receipt will be issued on the day of the review.