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REGISTRATION FORM

40th NATIONAL CONVENTION


November 13-15, 2014
Ibalong Centrum for Recreation, Legazpi City, Albay

NAME _______________________________________________ CHAPTER ____________________________________________________________


PRC NO. ____________________ EXPIRY DATE __________________ DATE OF REGISTRATION _____________________________________
MEMBERSHIP TYPE ( ) Associate ( ) Regular
Regul ( ) Life ( ) Fellow ( ) Non Member GENDER FEMALE ( ) MALE ( )
SECTOR ( ) Government ___ DPWH ___ DILG ___ DOTC Others _____________ STATUS OF MEMBERSHIP ACTIVE ( )
( ) Private ( ) OFW ( ) Academe ( ) Others ____________ IN-ACTIVE
ACTIVE ( )
ADDRESS _______________________________________________________________________________________________________________________
E-MAIL ____________________________________________________________________
_____________________________________________

COMPANY NAME ____________________________________________________________ POSITION _______________________________________________


TEL NO. ___________________________________________
________________________________________________________________ CELLPHONE NUMBER _________________________________________
_____________________________________

SIGNATURE OF DELEGATE ____________________________________________________________________________________________________________


_____________________________________________________________________________________________________________
________________________________________________________________________

PAYMENT VALIDATION (to be filled-up by a PICE staff) Membership Status ( ) Member ( ) Inactive / Non Member Payment Classification ( ) EARLY ( ) REGULAR

Amount Paid ___________ OR No. ____________ Cashier Name _____________ Claim Stub Issued ____________ Received By: __
___________
_________

PHILIPPINE INSTITUTE OF
CIVIL ENGINEERS, INC.

 LEARN FROM INDUSTRY


LEADERS
 NETWORKING OPPORTUNITIES
TO MEMBERS
If undelivered, please return to:
 ThePICE
PICENATIONAL
National HEADQUARTERS:
Headquarters
 PLAN YOUR TRIP NOW
THE HEADQUARTERS
PICE
PICEBuilding,
Building, #4 Albany
4 Albany Street,
Street, Cubao,
Cubao, Quezon
Quezon City City
Tel.Nos.
Tel. Nos.(02)
(02) 709-3936
7093936
3936toto
38/38(02) 7093505
/ (02) 709 / (02) /7093429
709-3505 (02) 7093940
(02) 709-3429 / (02) 709-3940
Tel/Fax Nos. (02) 7093415
Tel/Fax Nos. (02) 437-2472
2472 / (02) 709
709-3415
Cell Nos. (0977) 140-9109 / (0939) 686--5798 / (0922) 302-2296
Cell Nos.
Email (0917)
add: 6278734 / (0999) 880-1732
picenatl@pice.org.ph 880 / (0922) 3022296
Website:
Email: www.pice.org.ph
picenatl@pldtdsl.net / picenatl@pice.org.ph
Website: www.pice.org.ph /www.picenatcondavao.com
40th NATIONAL CONVENTION HIGHLIGHTS OF THE CONVENTION
Leading PICE members in 96 chapters from Cagayan to Sulu NOVEMBER 12, 2014 (WEDNESDAY)
belonging to leading government departments, agencies and offices, Early Registration
construction companies, consulting firms, colleges and universities Sports Tournament
are expected to participate in this ANNUAL EVENT of Civil Engineers.  Golf
 Table Tennis
The PICE National Board of Directors through the National and  Bowling
Regional Conventions Committee will support PICE Albay-Legaspi  Billiard
City Chapter, the host of the Convention.  Darts
Watch out for further announcements on concurrent activities which NOVEMBER 13, 2014 (THURSDAY)
will make your stay in Legaspi City truly unforgettable. FORM YOUR - Opening of PICE CONSTRUCTION TECHNOLOGIES, SERVICES AND
DELEGATION NOW!!! BUILDING MATERIAL EXHIBIT (ICR)
- Best Celebrated Civil Engineering Month Celebration
ATTENDANCE OF GOVERNMENT CIVIL ENGINEERS - PICE 2014 Exhibit: A National Report
PICE will seek the endorsement of various Government Department - The PICE National Chapter Awards
Agencies and Offices to allow their Civil Engineers to attend the 40th - Opening Ceremony and Luncheon
National Convention on official time/business. - Plenary Session-The President’s Report/
DECLARATION OF CIVIL ENGINEERING MONTH (November 2014) Conferment of Specialists Certificates
The Civil Engineering Month is celebrated yearly during the month of - Special Lectures
the Convention. All Chapters are encouraged to plan out activities in - Product Presentation
their respective localities to celebrate the occasion, focusing - Grand Finals of the 33rd National Civil Engineering Students’ Quiz (33th
attention on the IMPORTANCE OF THE CIVIL ENGINEERING NCESQ)
PROFESSION IN NATION BUILDING. - International Round Table Discussion
- Electoral College Assembly
SPORTS TOURNAMENT (November 12, 2014) - Fellowship Night
The Convention kicks off with the Golf, Bowling, Billiards and NOVEMBER 14, 2014 (FRIDAY)
Badminton Tournaments for PICE members. Chapters are Breakfast Meeting of the National Board of Directors, Past Presidents with
encouraged to form their teams and participate in the sports the Chapter Presidents, Regional Coordinators and Presidents of Affiliate
activities on November 12, 2014. Team registration starts on Societies
October 19, 2014. - Technical Sessions
ELECTORAL COLLEGE MEETING (November 13, 2014) - College of Fellows Meeting
The Electoral College will meet on November 13, 2014. It is tasked to - Rube Goldberg Competition
- Election of 2015 National Board of Directors
elect the National Directors of PICE for 2015 and to ratify proposed
- Counting of Election Returns
amendments to the By-Laws. A process for the listing and - Election of 2015 National Officers and Directors
accreditation of Electoral College delegates have been announced in NOVEMBER 15, 2014 (SATURDAY)
a separate circular. All life members are reminded of their duties as - 17th National Civil Engineering Students’ Conference
automatic members of Electoral College. - Technical Session
ELECTION OF 2015 NATIONAL BOARD OF DIRECTORS - Closing Ceremony
(November 14, 2014) - Community Extension Program
On November 14, 2014, the Electoral College will elect the National
Directors from candidates representing the Private and Government INQUIRIES AND REGISTRATION
sectors. The 15 new board members shall then elect the officers who All interested parties are requested to register early and take
will manage PICE in 2015. All qualified voters may request for a copy advantage of the early “early bird” discount. For more details, visit,
of the circular and guidelines for the elections. call, email or text:
STUDENT ACTIVITIES & COMPETITIONS (November 13-15, 2014)  THE PICE NATIONAL HEADQUARTERS OFFICE:
The PICE National Student Chapter Affairs Committee is requesting PICE Building, 4 Albany Street, Cubao, Quezon City
all student chapters to link up with their respective mother chapters Tel. Nos. (02) 7093936 to 38/ (02) 7093505 / (02) 7093429 (02) 7093940
and join the various activities and competitions for the student Tel/Fax Nos. (02) 7093415
members this year: Cell Nos. (0922) 3022296 / (0939) 6865798 / (0977) 1409109
 33rd National Civil Engineering Students’ Quiz (33rd NCESQ) Email add: picenatl@pice.org.ph
 17th National Civil Engineering Students’ Conference Website: www.pice.org.ph
 2014 Search for the Most Outstanding Civil Engineering Students or
(2014 MOCES)  THE PICE ALBAY-LEGAZPI CITY CHAPTER
 20th Bridge Building Competition Engr. ELEANOR L. AREOLA
th President, PICE Albay-Legaspi City Chapter
 5 Rube Goldberg Design Competition
RES Building, Airport Road, Legazpi City
Cell Nos. (0929) 9510929 (Smart)
Engr. Areola
(0917) 559-0311 (Globe)
(0922) 8111210 (Sun) Engr. Hazel Salimbao
2014 NATIONAL BOARD OF DIRECTORS (0917)5305118 (Globe) Engr. Reggie Lajara
(0917)5630250 (Globe) Engr. Wett Franca
(0928)4682081 (Smart) Engr. Gina Sipin
DAVID G. SANCHEZ
President COUNCIL OF ADVISERS

EUGENIO R. PIPO, JR. ROMEO S. MOMO The Convention Registration Fee:


1st Vice President Immediate Past President/ *On-line payment is now available @ www.pice.org.ph
Ex-Officio Director
ERNESTO S. DE CASTRO, Ph.D. INCLUDES CONVENTION KIT, PROCEEDINGS AND LUNCH/SNACKS
PAST PRESIDENTS First 1,000 early/ Regular/ Succeeding
2nd Vice President
online registrants or registrants
up to October 16, 2014
MARIANO R. ALQUIZA BENITO M. PACHECO, Ph.D. whichever comes first
Secretary JAIME A. PACANAN, Ph.D. Members in Good Php 2,000.00 Php 3,000.00
VENANCIO I. BESAVILLA, JR. Standing
FRANCIS ALDRINE A. UY, Ph.D. WILLY T. GO
Treasurer JUANITO P. ABERGAS  Inclusive of Convention Kit, Proceedings and Lunch/ Snacks.
PRIMITIVO C. CAL, Ph.D.  PICE shall NO longer provide for FREE HOTEL ACCOMMODATION which
MOCAMAD M. RAKI-IN, SR. should already be shouldered by the registrant/member.
JORGE U. SEBASTIAN, JR.
PETER N. AVENTAJADO  PICE Albay - Legazpi City Chapter will have a hotel assistance counter
Business Manager during the convention to give a hand to delegates in their accommodation
MANUEL M. BONOAN needs.
RANULFO C. FELICIANO EFREN H. SISON
PRO BASHIR D. RASUMAN MEMBERS WITH ARREARS/ INACTIVE MEMBERS, NON-MEMBERS
NELSON Q. IRASGA  Arrears shall be paid upon registration.
ANTONIO A. AVILA DAVID M. CONSUNJI  Online registrants shall pay the corresponding BALANCE of their
ANGEL L. LAZARO, III, Ph.D. Convention registration fee prior to claiming of their convention kit during
Auditor
ANGEL R. LAZARO, JR., Ph.D. the convention.

DIRECTORS
OTHER OFFICIALS CANCELLATION AND REFUND CONDITIONS
PETER PAUL P. DY, JR. Any Delegate who has paid the necessary Cancellation Fee but will be unable to
ALBERT A. PERFECTO ROMEO S. CAPARROS attend may submit the name of a substitute or replacement at any time, IN
ERDSAN RENE S. SUERO Chancellor, College of Fellows WRITING AT LEAST 15 DAYS BEFORE THE START OF THE CONVENTION.
EDGAR B. TABACON The fee may be refunded in full if cancellation is done 30 days before the
REYNALDO G. TAGUDANDO LEO CLETO A. GAMOLO convention. Thereafter a 10% service charge will be collected. No request for
RODERICK R. TECSON Legal Counsel refund will be entertained after the National Convention.
ANGEL T. TORREJON