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Research Congress 2019
June 19-21, 2019
REGISTRATION FORM for DLSU Research Congress 2019
All fields marked with a star required for registration. (*)
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Email
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Title
Mr.
Mrs.
Ms.
Prof.
Dr.
Other:
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Function at Congress
*
Paper Presenter
University/ College Faculty Delegate
Student Delegate
Other:
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Organization/ Institutional Affiliation
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Name
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Your answer
Middle Name
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Last (Family) name
*
Your answer
Name for badge:
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Email Address/es:
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Please use comma (,) as separator for more than one email addresses. e.g
juan.delacruz@dlsu.edu.ph
,
jose.santos@dlsu.edu.ph
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Telephone/ Fax Number:
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Please tick the sessions that you are attending
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Day 1
Day 2
Day 3
All three days
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Please indicate if you need certificates
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For DLSU Faculty Only: I am allowing my class to attend the conference as alternative class:
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Course Code
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Section
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Number of students
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Upon clicking submit, a confirmation number will be generated. Please use this number when you present yourself at the registration table during the conference proper.
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