You are on page 1of 1

Submit by Email Print Form

Philippine Records Management Association, Inc.


1500 J.P. Laurel St, San Miguel, Manila.
Telephone Nos. 671-8000 (telefax), 784-4286 loc. 4707

Email: prma_manila@yahoo.com
Web: http://philrecordsmanagement.blogspot.com

REGISTRATION FORM
Seminar Name:
Seminar Dates:
Seminar Location:

1.  Name          (Last)                                                    (First)                                                (Middle)  2. Nickname 


 
                                                
3.  Position/Designation  6.  Agency Classification 
       Please mark appropriate box:

4a.  Agency/Address  4b. Telephone No.  ‰ National Offices 


  ‰ Regional Offices 
‰ Local Government Unit 
4c. Fax No. 
  ‰ GOCC 
5a. Home Address  5b. Tel. No.  ‰ SUC 
‰ Private 
5c. Email Address:  5d. Mobile  Phone:  ‰ Others   

7.  Registration fee is P 3,900 (Kit, Meals and Seminar Materials)  8a. Approving Authority 


       ‰ Check/Cash Enclosed             ‰ PMO           ‰ Upon Registration   
 
9.  Participant's Signature  10. Date 
 

NOTE: Deadline of Reservation – A week before the start of the seminar.

You might also like