REGISTRATION FORM

Villa Princessita, Jabido Compound, Arellano St., City of Koronadal, South Cotabato
September 28-29, 2019

Full Name:
Address:
Email Address: Mobile Number:
15 CPD UNITS PHP 3,500.00

Course/Program Title: (CHECK [✓] the box of your preferred topic, choose ONE [1] only)

 International Training-Workshop on  International Conference on Emerging

Action Research for 21st Century Human Rights Issues in the Digital Age
Educators for Araling Panlipunan and Edukasyon
sa Pagpapakatao

 International Training on Current Trends  International Training Workshop on the

in Technology Livelihood Education and Challenges of ICT Integration in the
Technology and Vocational Learning Teaching-Learning Process for Science
and Mathematics

_________________________________________
Signature over Printed Name

HOW TO REGISTER
To register, the fee (PhP 3,500.00) Acct. Name: Winston John Romero Casio
MUST BE DEPOSITED to any of BPI 9 7 7 9 – 1 4 7 5 – 4 9
the following back accounts: 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
Dietary Restrictions:
 Allergies: _________________________
 Religious Prohibitions: ______________
***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