World Safety Organization

WSO International Office for Philippines

Unit 204, 2nd Floor, Xanland Place Building, 323 Katipunan Avenue
1108 Quezon City, Metro Manila, Philippines
Voice: (632) 709-15-35, 709-17-37 to 38 Facsimile: (632) 709-15-36
E-mail Address: info@wsophil.org
WSO Training Certificate Replacement Form
LAST NAME: FIRST NAME: M.I.:

CONTACT NUMBER: E-MAIL:

NAME OF COMPANY:

COMPANY ADDRESS:

HOME ADDRESS:

REQUEST DETAILS (COURSE & YEAR OF CERTIFICATE REQUESTED)

COURSE DATE/YEAR
1.
2.
3.
4.

Replacement of LOST DAMAGED WSO CERTIFICATE

*Please Attach Notarized Affidavit of Loss together with this form
Documents Delivered via PICK-UP / MAIL WORK ADDRESS HOME ADDRESS
- A fee of Php 300.00 will be charged for the replacement of each document. A special delivery via
mail/Courier will cost Php 150.00. (WSO Regional Offices outside Metro Manila and Cavite are
charged with special delivery)
- Replacement certificates will take around 5-15 working days upon receipt of request. Note that due
to holidays, and weather delays, it may affect the delivery of your request.

I hereby certify that the above information given are true and correct as to the best of my knowledge

_________________________________
Printed Name & Signature

_________________________________
Date

*To Be Filled Out by WSO Representative

Received By: Approved By:
Date Date:
OR Number:

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