Section 1 of 3
IMSPQ Pre-registration Form 2024
- The Philippine Society of Physiologists (PSP), in partnership with Cebu Doctors University (CDU), cordially invite you to participate in 20th Inter-Medical School Physiology Quiz (IMSPQ 2024) on July 26 to 27, 2024 at the Cebu Doctors University, Cebu City, Philippines.
The objectives of this activity are to:
(1) foster healthy "competitive" interaction and sportsmanship among the students and faculty of Physiology from the different institutions; and
(2) reinforce learning in Physiology.
Each institution may send only one (1) team comprised of three (3) members.
After completing this form, you will be sent through the registered email address, a statement of account with the total amount to be settled.
Deadline
registration for early bird fees is extended until May 15, 2024, Wednesday. Quiz mechanics will be discussed to you by Dr. Cheng of IMSPQ thru a Zoom meeting.
For further inquiries, you may contact the secretariat at psp1981.secretariat@gmail.com
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Section 2 of 3
By completing this registration form, I hereby signify my consent and authorize the Philippine Society of Physiologists, Inc. (PSP) to collect and process the data indicated herein, for the purpose of registration to the 20th IMSPQ 2024. I understand that my personal information is protected by RA 10173 (Data Privacy Act of 2012) to provide truthful information.
Family Name (If married, indicate MAIDEN NAME and MARRIED NAME e.g., DELA CRUZ-CORTEZ) of team faculty coach
Family Name (If married, indicate MAIDEN NAME and MARRIED NAME e.g., DELA CRUZ-CORTEZ) of team faculty coach
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First Name
First Name
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Contact Number [(country code) Mobile number] [Ex. (+63) 90x-xxxxxxx]
Contact Number [(country code) Mobile number] [Ex. (+63) 90x-xxxxxxx]
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E-mail Address* Please make sure your email is entered correctly as we will communicate through your email. Common mistakes include: 1 ".con" instead of ".com", 2. "gmai" instead of "gmail"
E-mail Address* Please make sure your email is entered correctly as we will communicate through your email. Common mistakes include: 1 ".con" instead of ".com", 2. "gmai" instead of "gmail"
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Main Affiliated Institution to be represented
Main Affiliated Institution to be represented
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Adventist University of the Philippines - College of Medicine
AMA Medical College
Angeles University Foundation - College of Medicine
Ateneo de Manila University - School of Medicine and Public Health
Ateneo de Zamboanga University - School of Medicine
Baguio Central University - College of Medicine
Bicol Christian College of Medicine - Ago Medical and Educational Center
Bicol University - College of Medicine
Brokenshire College - School of Medicine
Cagayan State University - College of Medicine
Cebu Doctors' University - College of Medicine
Centro Escolar University - School of Medicine
Cebu Institute of Medicine
Cebu Normal University - Vicente Sotto Memorial Medical Center College of Medicine
Central Philippine University - College of Medicine
Chinese General Hospital Colleges - College of Medicine
Davao Medical School Foundation - College of Medicine
De La Salle Medical and Health Sciences Institute - College of Medicine
Divine Word University
Emilio Aguinaldo College - College of Medicine
Far Eastern University - Nicanor Reyes Medical Foundation
Iloilo Doctors' College of Medicine
Jose Maria College - School of Medicine
La Consolacion University Philippines - College of Medicine
Lyceum-Northwestern University - Dr. Francisco Q. Duque Medical Foundation
Liceo de Cagayan University - College of Medicine
Manila Central University
Manila Theological College - College of Medicine
Mariano Marcos State University - College of Medicine
Metropolitan Medical Center - College of Arts, Sciences and Technology - College of Medicine
Matias H. Aznar Memorial College of Medicine
Mindanao State University - College of Medicine (General Santos City)
Mindanao State University - College of Medicine (Marawi City)
New Era University - College of Medicine
Our Lady of Fatima University College of Medicine
Palawan State University
Pamantasan ng Lungsod ng Maynila - College of Medicine
Philippine Muslim-Christian College of Medicine
Remedios T. Romualdez Medical School Foundation - College of Medicine
Saint Louis University - School of Medicine
San Beda University - College of Medicine
Silliman University Medical School
Southwestern University - School of Medicine
St. Luke's College of Medicine - William
St. Paul University Philippines - School of Medicine
University of Cebu - School of Medicine
University of Northern Philippines - College of Medicine
Virgen Milagrosa University Foundation - College of Medicine
University of Perpetual Help - Dr. Jose G. Tamayo Medical University
University of Perpetual Help Rizal - Calamba Campus
University of Perpetual Help System Dalta - JONELTA Foundation School of Medicine
University of Saint La Salle - College of Medicine
University of Santo Tomas - Faculty of Medicine and Surgery
University of the East - Ramon Magsaysay Memorial Medical Center
University of the Philippines - College of Medicine
University of the Philippines School of Health Sciences
University of the Visayas - Gullas College of Medicine
West Visayas State University - College of Medicine
Xavier University - Dr. José P. Rizal School of Medicine
OTHER:
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Please type the name of your institution if you chose "OTHER" in the previous question.
Please type the name of your institution if you chose "OTHER" in the previous question.
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Please type the names of the IMSPQ delegates who will comprise your team (LAST NAME, FIRST NAME).
1 – Team captain
2 – Member
3 – MemberPlease type the names of the IMSPQ delegates who will comprise your team (LAST NAME, FIRST NAME).
1 – Team captain
2 – Member
3 – MemberQuestion Type
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How many coach/es are you registering?
How many coach/es are you registering?
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How many observer/s are you registering? Write N/A if none
How many observer/s are you registering? Write N/A if none
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The IMSPQ kits include the 20th IMSPQ 2024 official T-shirt. Please indicate the number and size of T-shirt needed by your team (eg. Small-2, Medium-1, Large-1, etc)
Sizes of T-shirt available: XS, S, M, L, XL, XXL
(Size chart is unisex)
The IMSPQ kits include the 20th IMSPQ 2024 official T-shirt. Please indicate the number and size of T-shirt needed by your team (eg. Small-2, Medium-1, Large-1, etc)
Sizes of T-shirt available: XS, S, M, L, XL, XXL
(Size chart is unisex)
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Please indicate FOOD PREFERENCE in any member of your team.
Please indicate FOOD PREFERENCE in any member of your team.
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Beef
Pork
Poultry
Fish and seafood
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add "Other"
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Please indicate FOOD ALLERGIES in any member of your team.
Please indicate FOOD ALLERGIES in any member of your team.
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IMSPQ 2024 Registration Fee
First 100 Quiz Bee contestant registrants may have the option to stay in the Cebu Doctors University Dorm as in-house delegates.
The IMSPQ Quiz Bee Contestant Rate with accommodation includes:
1. Scheduled Mactan Airport-Cebu Doctor University- Mactan Airport transfers
2. Three days-Two nights (3D2N) stay (July 25-July 27, 2024) at the Cebu Doctors University dorm
3. IMSPQ kit
4. Breakfast, snacks, and lunch for 2 days
5. Fellowship Dinner
6. IMSPQ 2024 Participant certificate
The IMSPQ Non-housed contestants and Coach/Observer rate includes:
1. IMSPQ kit
2. Snacks and lunch for 2 days
3. Fellowship dinner
4. IMSPQ 2024 Participant certificate for Quiz Bee contestants
IMSPQ 2024 Registration Fee
First 100 Quiz Bee contestant registrants may have the option to stay in the Cebu Doctors University Dorm as in-house delegates.
The IMSPQ Quiz Bee Contestant Rate with accommodation includes:
1. Scheduled Mactan Airport-Cebu Doctor University- Mactan Airport transfers
2. Three days-Two nights (3D2N) stay (July 25-July 27, 2024) at the Cebu Doctors University dorm
3. IMSPQ kit
4. Breakfast, snacks, and lunch for 2 days
5. Fellowship Dinner
6. IMSPQ 2024 Participant certificate
The IMSPQ Non-housed contestants and Coach/Observer rate includes:
1. IMSPQ kit
2. Snacks and lunch for 2 days
3. Fellowship dinner
4. IMSPQ 2024 Participant certificate for Quiz Bee contestants
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Will your IMSPQ delegates stay in CDU dormitory?
Will your IMSPQ delegates stay in CDU dormitory?
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Yes
No
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Section 3 of 3
IMSPQ 2024 pre-registration is now complete! Please wait for the confirmation email with your statement of account before you make any payment. For security purposes, transact only with our official email address at psp1981.secretariat@gmail.com
Message us again at psp1981.secretariat@gmail.com for any queries/concerns. Thank you so much, and see you soon!
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