Registration Form: Philippine Embassy Consular Mission to Chiang Mai, 22 Sep 2018
Location : IMPERIAL MAE PING HOTEL
map: https://goo.gl/maps/hoH1QcLseqQ2
Date : 22 September 2018 (Saturday)
Time : 9:00 am – 5:00 pm
FAMILY NAME *
Sundin ang nasa inyong Philippine Passport
Your answer
GIVEN NAME/S *
Sundin ang nasa inyong Philippine Passport
Your answer
MIDDLE NAME *
Sundin ang nasa inyong Philippine Passport
Your answer
EMAIL ADDRESS *
Siguraduhin po na tama ang inyong email address. Halimbawa: juanasilang@gmail.com
Your answer
MOBILE PHONE NUMBER *
Siguraduhin po na tama ang inyong phone number, walang spaces. Halimbawa: 0901234567
Your answer
SERBISYONG KAILANGAN *
Pumili po ng isa. Kung higit sa isang serbisyo ang kailangan, puwede pong mag-submit ng dagdag na online registration form.
ANONG ORAS AT ARAW PO KAYO PUPUNTA? *
Mga available na oras ng Consular Mission
SAAN PO KAYO MANGGAGALING? *
Saang probinsiya kayo manggagaling patungo sa Consular Outreach sa Rayong?
KASARIAN *
KAYO PO BA AY SENIOR CITIZEN, BUNTIS O MAY MOBILITY CHALLENGES? (Optional)
CONFORME *
Required
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