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Republic of the Philippines

CITY of OLONGAPO
BARANGAY MABAYUAN
Contact No. (602-3900)/0919-003-1577

FREE LIVELIHOOD TRAINING FORM


WELDING

DATE :
REGISTRATION NO : 1x1
CONTACT INFORMATION
LAST NAME :
FIRST NAME :
MIDDLE NAME :
SUFFIX :
ADDRESS :

BIRTH DATE : AGE :


GENDER : CIVIL STATUS:

Have you ever attended this training before?


YES NO
If yes, when? _______________
Reason(s) for attending this training?

Signature over printed name

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