SKMT Form 1

SANGGUNIANG KABATAAN
MANDATORY TRAINING 2X2 ID Picture
National Capital Region
City of Manila

Date: _____________, Venue: ______________________

REGISTRATION FORM
PERSONAL INFORMATION
Name : Nickname :
First Name M.I. Surname
Date of Birth : Gender :
Age : Religion :
Position : Mobile Phone :
Barangay : City/Municipality :
Home Address :

EDUCATIONAL ATTAINMENT
Post Graduate Degree/ Course : Year Taken :
College Degree/ Course : Year Taken :
High School : Year Taken :
Elementary : Year Taken :
Others : Year Taken :

RECENT RELEVANT TRAININGS/ SEMINARS ATTENDED

Name of Trainings/Seminars Date Conducted Organizing Agency

*Please attach extra paper if necessary

In case of emergency, please notify:

Name : Relationship :
Address : Phone No. :

Dietary Restrictions :

Signature Date

Once accomplished kindly return to the Training Management for more details.
Thank you.