Tour/Visit Request Form
For formal letters of request, please address the letter to: Dr. Cynthia P. Saloma, Executive Director, Philippine Genome Center and send to pgc@up.edu.ph.
Email address *
Name *
Your answer
Contact no. *
Mobile Number
Your answer
Institution/Affiliation/School *
Your answer
Purpose of request *
Your answer
No. of participants *
Your answer
Participants
Check all that applies
Requested date & time *
Note: Date of tour and/or visit are for scheduling purposes and not final. Please wait for confirmation which will be depending on the availability and ongoing operations of the center.
MM
/
DD
/
YYYY
Time
:
Thank you!
Submit
Never submit passwords through Google Forms.
This form was created inside of University of the Philippines. Report Abuse - Terms of Service