ANCILLA PUBLIC SEMINAR

REGISTRATION FORM
For more information, kindly get in touch with MIEL CARRERA
556 – 3215 | 16 | 19 556 – 3394
publicsem@ancillaedc.com.ph

PARTICIPANT’S PROFILE
Full Name: ESOBEL D. JAEN Nickname: ESI
Home Address:
373 MALABANBAN SUR, CANDELARIA, QUEZON
Birth Date: JULY 6, 1990 Mobile Number: 0917-578-4381
Company: MAYAMANG KARAGATAN INC. Position: MANAGER - OIC

Company Address: BRGY. BAQUIOEN, SUAL, PANGASINAN

Company TIN: 008-351-387
If your company is categorized as VAT Exempt or Zero Rated, kindly provide us a copy of your VAT Exemption Certificate and BIR
Ruling.
Office Number: E-mail Address: esobeldjaen@gmail.com
Fax Number: Facebook Acct.: grouper.fish.esi
Additional Info:
(e.g. allergies)

PROGRAM INFORMATION
The training / workshop you
would like to attend.

APPLICABLE FEES

Registration Fee - PhP 8,400.00 (VAT Inclusive) / participant / 2 days

PAYMENT GUIDELINES TERMS AND CONDITIONS

1. Payments may be made in cash and in cheque payable to
ANCILLA ENTERPRISE DEVELOPMENT CONSULTING, INC.
2. For Bank Deposit :
ANCILLA ENTERPRISE DEVELOPMENT CONSULTING, INC.
UNIONBANK CA# 00 – 274 – 000159 - 4
Biñan – Carmona Branch
3. Confirmation of registration requires 50% down payment.
Otherwise, reservations will not be valid unless
arrangements have been made with the center.
4. Payment must be made before the start of the workshop.
Otherwise, discount given will be forfeited.
5. Billing Invoice shall be issued upon submission of
registration form.
1. Cancellation requests made less than seven (7) working days
prior to the start of workshop shall be subjected to a 50%
cancellation fee.
2. If the participant does not attend the workshop and no
cancellation request has been made, the full course amount
shall be charged. Discounted rates still apply.
3. Ancilla reserves the right to cancel, defer or postpone the
program(s) as the company deems fit.