Registration Form PDIMME
Registration Form PDIMME
REGISTRATION FORM
Mrs.
Ms.
Yes
No
Will you need room accommodation (own account/not covered by the project):
Sunday (day before)
Wednesday (day after)
Transportation (For Participants from outside Metro Manila)
Arrival - Date and Time
_____________________________________
bus
plane
Others
Allergies/Medical conditions (please specify): ______________________________________
Dietary needs/restrictions (please specify): ________________________________________
Person to contact in case of emergency:
Name: ______________________________________
Relationship: _________________________________
Contact number: ______________________________