Registration Form

STEPS IN ACCOMPLISHING THIS FORM:

1. DOWNLOAD THIS FORM.
2. ANSWER THE STATED QUESTIONS COMPELETELY WITH CORRECT DETAILS. DO NOT LEAVE
UNANSWERED QUESTIONS.
3. AFTER ACCOMPLISHING THIS FORM, SEND IT ONLINE AT THIS ADDRESS: poyms2012@yahoo.com

*THOSE WHO WILL SEND THEIR ACCOMPLISHED REGISTRATION FORM BEFORE JULY 25, 2014 WILL BECOME
AUTOMATIC MEMBERS OF THE PHILEX AND OUTLYING YOUTH MOVERS SOCIETY (POYMS).

PERSON INFORMATION


(Last name) (First name) (Middle name)

Address:
Sitio Address (specify complete name of sitio):
Gender:
Date of Birth:
Age:
Email Address:
Contact Number:
School:
Course & Year:

Special skills/ Talents (What can you contribute in this youth organization?)




POYMS RELATED INFORMATION

How did you know about POYMS?




Reason/s of joining POYMS:




Expectation from POYMS:
Philex and Outlying Youth Movers Society
Where real empowerment works!
Philex Mines Padcal, Tuba, Benguet, Philippines
poyms2012@yahoo.com
0908-961-4283