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Siete Taon na, sa Disyembre Batch 2005 Grand Reunion December 30, 2012 (Saturday) / Place: TBA REGISTRATION FORM
PERSONAL INFORMATION Name: (Lastname, First Name, M.I.) Institutional Affiliation: Complete Address: Tel. No. REGISTRATION FEE Type _____ Package A _____ Package B Mobile: Fax: Position/Designation

Registration Fees Php, 1, 000.00 Php 600.00

Remarks inclusive of souvenir shirt and food and drinks (lunch, snacks, dinner, and hard drinks) inclusive of food and drinks (lunch, snacks, dinner, and hard drinks) hard drinks only

_____ Package C Php 300.00 SKILLS, SPECIALIZATION, Areas of Interest/s _____ Humanities/Arts Visual Art, Performing Arts (Dance, Theatre, Music) _____ Communication/Media Creative Writing, Mass Comm, Literature _____ Engineering/Architecture Computer, IT, Landscape, Electrical, etc. _____ HRM, Food Technology Culinary Arts, Nutrition, Diet, etc. _____ Social Sciences Philosophy, Political Science, Geography, Anthropology, etc _____ Sciences, Medicine, and Nursing, MedTech, etc. other related areas _____ Business and Management Entrepreneurship, Economics, Law, Public Areas Administration, Accountancy, Finance, etc _____ Others (please specify) PAYMENT DECLARATION (you have to pay through depositing in our Batch Account only) Php __________.00 Date: ___________________________ Note: Photocopy of the deposit slip must be presented accompanying this Registration Form BANK Account Details:

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