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Registration Form PDIMME

The registration form collects contact and accommodation details for a workshop on strengthening CSO capacity. It requests the participant's name, organization, contact information, project area, and designation. It also asks if the participant will need accommodations before or after the workshop dates, their arrival and departure schedules, transportation, any medical conditions or dietary restrictions, and an emergency contact. By submitting the form, the participant confirms their attendance and agrees to cover any changes to food or accommodations within 3 days of the event.
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© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
67 views

Registration Form PDIMME

The registration form collects contact and accommodation details for a workshop on strengthening CSO capacity. It requests the participant's name, organization, contact information, project area, and designation. It also asks if the participant will need accommodations before or after the workshop dates, their arrival and departure schedules, transportation, any medical conditions or dietary restrictions, and an emergency contact. By submitting the form, the participant confirms their attendance and agrees to cover any changes to food or accommodations within 3 days of the event.
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Strengthening the Capacity of CSOs Project

REGISTRATION FORM

PLEASE PRINT REQUIRED INFORMATION IN BLOCK LETTERS:


Salutation (please check accordingly): Mr.

Mrs.

Ms.

Others (please specify): _______________


_______________________

Full Name:___________________________________ Nickname: ______________________


Office Tel. number: ________________________ Mobile number: ______________________
Email address(es): ____________________________ /_______________________________
Name of organization: _________________________________________________________
Program/Project Area Implemented: ______________________________________________
Official Designation: _______________________
By accomplishing and submitting this form I am confirming my attendance to the workshop
and that all details are correct and accurate. Further, I agree that any changes with food and/or
accommodation arrangements 3 days prior to the event will be at my expense.
-----------------------------------------------------------------------------------------------------------------------------Accommodations (For Participants from outside Metro Manila)
Will sleep over at hotel venue?
If Yes, please check appropriate box:
Monday & Tuesday night

Yes

No

Monday night only

Tuesday night only

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

_____________________________________

Departure Schedule - Date and Time ___________________________________


Means of Transportation:
private vehicle

bus

plane

others (please specify) _____________

Others
Allergies/Medical conditions (please specify): ______________________________________
Dietary needs/restrictions (please specify): ________________________________________
Person to contact in case of emergency:
Name: ______________________________________
Relationship: _________________________________
Contact number: ______________________________

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