Confirmation Slip for Public Delegates of CODE-NGO 6th Congress & SocDev2017
November 24-25, 2017 - Great Eastern Hotel (Aberdeen Court), 1403 Quezon Avenue, Quezon City, Philippines
Theme: “What is the Future of Philippine Democracy and the Prospects for the CSO Sector?”
PERSONAL INFORMATION
1. Last name *
Your answer
2. First name *
Your answer
3. Middle initial *
Your answer
4. Nickname *
Your answer
5. Birthdate
MM
/
DD
/
YYYY
6. Organization *
Your answer
7. Designation *
Your answer
8. Address *
Your answer
9. Telephone number
Your answer
10. Mobile number *
Your answer
11. Email *
Your answer
SECTOR
12. I come from the following sector: *
SESSIONS
NOTE: The registration fee for the 2-day event is PhP1,700, which includes am snacks, lunch, pm snacks and dinner on Day 1. If you intend to attend either Day 1 (November 24) or Day 2 (November 25) only, the registration fee is still PhP1,700. For students, the registration fee is PhP900, whether attending for 1 or 2 days.
13. I will attend the following sessions: *
14. Are you a student? *
14. I will deposit the registration fee of PhP1,700 (non-student) or PhP 900 (student) which is required from each delegate (as indicated above) to the CODE-NGO bank account details below:
Account name: Caucus of Development NGO Networks
Bank name: Bank of the Philippine Islands
Branch: Loyola-Katipunan
Account number: 3081-0753-43

Afterwhich, I will email (congress@code-ngo.org) my deposit slip to CODE-NGO by November 13, 2017.

FOOD/DIETARY REQUIREMENTS/PREFERENCES
15. My food/dietary requirements/preferences are as follows: *
For inquiries, please call the CODE-NGO Secretariat at (02) 920.2595 or 920.9310or text Cecil 0922.8257174, Aileen – 0949.9952468 or Cel – 0917.7342259
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