REGISTRATION FORM

St. Paul's University, Iloilo

July 20-21, 2019

Full Name:

Address:

Mobile Number:

Email Address:

15 CPD UNITS PHP 3,500.00

Course/Program Title:

National Training Workshop on the Challenges of ICT Integration in the Teaching-Learning Process
for Science and Mathematics

_________________________________________
Signature over Printed Name

HOW TO REGISTER
To register, the fee (PhP 3,500.00)
MUST BE DEPOSITED to any of
the following back accounts:
Acct. Name: Winston John Romero Casio
BPI 9 7 7 9 – 1 4 7 5 – 4 9
EastWest 2 0 0 0 – 2 4 7 7 7 – 6 4 1
PNB 1 1 1 3 – 1 0 0 4 – 6 5 4 2

***Write your name on the deposit slip, scan or take a photo and send it to
inquiry.pcpd@gmail.com or www.facebook.com/pcpdtraining with your complete name,
address, date of birth, school or company/agency and contact details.

Please bring the hard copy of the deposit slip on the lecture dates.

Tel. No. (02) 418-0975; (02) 426-5648; 0917-805-3370; 0933-867-4931