ASCPi Intensive Review Program ENROLLMENT FORM
Review Fee: 5000 pesos only*

*Past Legend alumni and early-bird enrollees get 500 pesos off (non-accumulating)

1. Accomplish this online enrollment form completely

2. Proceed to pay the review fee through bank deposit at the nearest BPI or Metrobank branch.

Bank of the Philippine Islands
Account number: 8539-1132-76
Account name: Gabrielle Paul S. Pascual

Account number: 238-3-238-34030-7
Account name: Gabrielle Paul S. Pascual

3. Email a clear scan/picture of the deposit slip to with the following Subject:

ASCP Review [Last Name, First Name]

Include the following in your email:
- Full name
- contact number
- any concerns

4. Expect a confirmation email with further instructions 2-3 working days after. Should there be a delay, please do not hesitate to contact us through our Facebook page or through our contact numbers (0916.327.7049/0922.688.5588)

5. Prepare 2 1x1 ID pics for your ID Card to be presented on the first day of classes.
Full Name (Last Name, First Name Middle Name) *
Your answer
Birthdate *
Contact number *
Your answer
Email address in use *
Your answer
Current Job Title/ Position *
Your answer
Current Company/ Institution *
Your answer
Were you able to take any previous local MedTech board exam? *
Are you a past Legend Alumni? *
Legend alumni get 500 pesos off!
Concerns/ Suggestions?
Your answer
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