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VRP SCHOOL OF STATESMANSHIP TRAINING MODULE 1

Date of Training: March 12-15, 2024

CONFIRMATION FORM

Delegates:

NAME EMAIL ADDRESS


(Last Name, First DESIGNATION CONTACT (please indicate for the
Name, Middle Initial) NUMBER online classroom
links)

Agency & Region: ____________________________________________________________

Complete Agency Address: ____________________________________________________

Agency Contact Numbers: ______________________________________________________

__________________________________________
Conforme’
Signature over printed name of Authorized Representative

Note: Kindly ensure to make all checks/cash payable to:

Bank: Landbank, Naguilian Road Branch, Baguio City, Philippines


Account Name: CRFV Inc.
Account Number: 3551-0142-22

Please send this CONFIRMATION form and a copy of your deposit slip through
telefax number +63-074-244-5375 or email at crfv.statesman@gmail.com.

*CRFV TIN No. 005-864-524-000 (Non-VAT Registered)

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