23d Gertified Payroll Professional (GPP@) Program

February08, {5 &22,2920
Send Application
PSE Center East Tower Tektite Ortigasn Fasig Gity

PERSONAL INFOHMATION
PROGRAM FEE
Name: DESUhlal Grr.twrwr G
n Full Payment- Php9,500
Nickname: BEV

PreFEned Mailing Address: Block lV Lot lr. Morrnoine ville ll , Bcw. Forua.
DISCOUNTS
"-_"ffftbs onE'q, .q4qQ9?q tagl
n AlumniDlscount- 5"/t Postat cade: 41J+

n EarlyBirdDiscount- 50/, Dale ofBidh. Februory q, tqqo _ _ Mobile Number: _W1lg0?7e

Enroll and pay one ({} month be{orethe program

personat ema;r 9e{.le\lreY?4!9gtn-{n@l&!eo."oo4.-'
'- --
EMFLOYMEIIT INFO RMATIOI,I

company Name:
iloter AII programfees areiletof all applicabletaxes. -_{c!EESI!41!!9!tr1r.S,.1!-9:
Pssi{jon: kcorlnwoerb,/
Company Add{ess: 8F Solor Cenlnrv 1ot^Jer. 100?erdesilloscf. gfgy. eF.,lottttlakttr

Postat code; lxoq

Date of A,pssintu'reflt Oflae Numb*r: t8g3- 88A

PAYMENTOPflOIiIS cornpany E maii : @W:!. glu s1q:-,
9
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Cash, Check, Direct Deposits and Credit Cards
ACADEH'C OUALIFICATIO N
-]Q.f
For paymentarraflgements andotherdetails, pleasecontact -bafarws
the Program
Universily: lgc"um or ths phitpptnes Ur*verstfil
Coordinator at 506 1.285; or
6.gu156. Dg irl oanmerc YeaI GEdualed: 20t0
Ms. KimhdyBelarmino
+632706 HOW OID YOU LEAHT'I AST]UTT}IIS PBOGHAM?
464,5 / 706 4548 to 49
kim.ioybelarmino@gmail.com
E rna*n- E otRFCI hlArl [f wcasrrr dorHEFS. ors*smir! lacehrlk
UUUU
RE[ilIHEERB
PTEASE F&UEMAIL?HIS BEGISTRATION FORM TO: Send Application
Plea* mahe su6 16 srits ths mDbiie a.Ld Dff[:€ niimbaE

ContactPerson: Ms.Gianne Payumo

Fax: +6327462212
Emaih ga paVu mo@
DATA PfiIVACY:
g mail. com
Upon signing this form you are agreeing tlrat the personal data oblained from the registration form entered and stored
within the lmtitute's authcrized informatioo and communicalions system and will only be accessed by the NIAT authorized

IN-HOUSE TRAINING: personnel. Furthermore, the infomation collected and stored in this fo:m rhall only be used forthe folicwing purposes:
. Announcements I prcmoiions ol eventg pro6raml courses and other adivities offered / organized by the
lfyou havaaconsiderable numberof participants,wecan provide you with
lnsiitute and itspartners;
a more personal and specific approaches to rneetyourtraining
. Aciivities pertaining to estahlishing relations with participants/memberslalumni;
requirernents.Ourprogram experts$rill deliverthetrainingtoyour
. NIAT Philippines has the right to share your informaiion to our relaied affiliate companies, iflstitijtions, and or
organizatinnatyourchosen
subsidiaries;
location.
. NIAT Philippines shall not disrlose the participants/memberslalumni personal information without their consent

For more information, please contact: and shall retain this information over a period of ten years for effective implementation, research analytics, and
managernent.

Ms. Gianne Payumo

{02) 7s06 128s
TERMS AND CONDITIONS:
gapayumo@gmail.com
Payment:
1. Seatwill be reserved upon paymentoithe prescribedfees stated inthis Registration Form.
CONFIRMATION Refunds, Canrallation and Substitut'lofl Polic'res

I hereby certify that I have read aad accepted all the tenns {. Refunds will be honored ifwereceived auritten notice ofranxellation!&bJtpriortothesta.t ofthe program a nd
mustbefaxedtoT06-2212or706-4645. Canceilatior}s receivedle$than 30dayspriortothe startofthepmgramwil
and condiHons siated in this regi*atirn form.
I

becharged25%ofthetotalprogramfeewhi[ethosereceivedoneweekpriortothe start $rill be charged 5tr6.

2, No refund will be made for ca*cellatisns received after the stated deadline.
3, NIAT?hilippinesr€seHestherightt6cancel,changevenues, andfacilitators dueto factorsbeyond our control, and
to ensure iearnieg effecti$eness. ln case of.anceilatian, seat can be moved to the next batch, or full refunds wil I be
5TG}IATUNE DATE
given.
iL Substitutions for individuals can be madeanytime priortoevent date.