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Particulars (All fields must be filled in.

)
Registration failed. Please check and correct the entries in red.
Full Name as per National ID
Jerico Dipasupil Salenga

Gender
Male

Female

E-mail Address (PLEASE ensure this is correct!)


jericosalenga@yahoo.com.ph

National ID No.
NK1932

Mobile No. (in case we need to inform you of changes, e.g. to venue)
09155511127

Secondary Phone No.


09155511127

Address
39 M.L. Quezon Street, Low er Bicutan, Taguig, Metro Manila

Camera Model

DSLR D3300

Camera Serial No.


2107283

Camera serial number is invalid, or has been used more than twice. Please email marketing@thinkdharma.com.ph for
details.

Remarks
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