PRE-REGISTRATION FORM

First PNVSCA-LGU Volunteerism Focal Persons’ Meeting

28 August 2020, 1:00 PM to 3:30 PM
Zoom: https://zoom.us/j/98851541677?pwd=YlpJdCtPQWVyb0Q4QmVZU0NTbldDUT09
Meeting ID: 988 5154 1677
Passcode: 736847

neilmaynardpagente@gmail.com
Email Address
Surname Given Name Middle Initial
Name of Attendee Pagente Neil Maynard P.

Sex Male Female Prefer not to say

(Pls check) 
MPDC
Job Title
(e.g. LDRRMO, MSWDO, etc.)

Designation/Position Please check

___ Local Chief Executive

___ Volunteerism Focal Person
___ Technical Staff
___ Other, specify:

Name of Local Government LGU Mutia

Unit
(e.g. MLGU Rizal)

Province Zamboanga del Norte

(NA if not applicable)

Mobile Phone Number 09097246255

For inquiries, please call Lynne at 0916 2034 322 or Fely at 0921 950 0993
Please email the accomplished form at pcmed@pnvsca.gov.ph