Building Resiliency & Maintaining Mental Wellness during the Pandemic

Personal Information

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Name

Barangay

Municipality

Province

Employer

Current Employment

Birthdate

Age

Religion

Cellphone No.

Sex

Facebook Account

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PRC License # (N/A for none)

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PRC ID/License Card

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SAMPLE DEPOSIT REFERENCE NUMBER

Transaction Type

Transaction Code KPTN Number Reference Number

Amount

Date

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*Saving this information will create Login Account which can be used to easily register for the next seminars

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How do you like to receive your Certificate and official receipt?

Soft copy by email

Hard copy via courier( add 200.00 for mailing)

I have agreed to the refund policy below

30-25 days prior to seminar date = 80% refund
24-15 days prior to seminar date = 60% refund
14-10 days prior to event date = 50% refund
9-1 days prior to event = NO REFUND
In case REQUIRED NUMBER OF PAX is reached, participant will be re-scheduled to another date and no refund will be paid.