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CSC-Accredited Training Institution (PTI-01220-0996) Member, National Committee on Archives, National Commission for Culture and the Arts (NCCA)

Philippine Records Management Association, Inc.

REGISTRATION FORM
Seminar Name: Seminar Dates: Seminar Location:
(First) (Middle)

1. Name

(Last)

2. Nickname 6. Agency Classification

Please mark appropriate box:

3. Position/Designation 4a. Agency/Office Mailing Address 4b. Office Email Address: 5a. Home Address 5c. Personal Email Address 4c. Telephone No. 4d. Fax No. 5b. Tel. No. 5d. Mobile Phone:

National Offices Regional Offices Local Government Unit GOCC SUC Private Others 8a. Approving Authority

7. Registration fee* is inclusive of kit, meals and seminar materials Check/Cash Enclosed 9. Participant's Signature PMO Upon Registration

10. Date

* Please refer to invitation for the amount. Check should be payable to: PHILIPPINE RECORDS MANAGEMENT ASSOCIATION, INC.
NOTE: Deadline of Reservation A week before the start of the seminar. You may send this form via email.

1500 J.P. Laurel St, San Miguel, Manila Telefax: (049) 536-2546 Email: prma_manila@yahoo.com.ph Web: http://philrecordsmanagement.blogspot.com