Registration Form for Skills & Livelihood Training

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Registration Form for Skills & Livelihood Training

By filling up this registration form, you provide consent to make your personal information available to PESO Panabo City. The data which will be collected from you will be used for database purposes. As per RA 10173 or the Data Privacy Act of 2012, the data shall be kept classified by the personal information controller.

General Instructions:

Please fill-out the form appropriately. Do not leave any questions blank. For questions not applicable to you, write "NA".

First Name *

Middle Name

Last Name *

Name Extension (Jr., Sr., II, etc.)

Sex *

Civil Status *

Date of Birth *

YYYY

Age *

Religion *

Street Address / Purok *

Barangay *

City/Municipality *

Province *

Place of Birth *

Email Address *

Mobile Number *

Disability *

Are you currently Employed? *

Yes

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