7/29/2019 Natcon Delegates Registration Form

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RegistrationForm-ForDelegates

A.PERSONALDETAILS

Fullname:

Gender:

BloodType:

DateofBirth:

Religion:

Nametobeappearedinthenametag:

(Nickname)

School:

CurrentAcademicYear:

Position:(e.g. Head, member, coordinator etc)

Correspondanceaddress:Contactno:

E-mailaddress:

B.EMERGENCYCONTACTS

Nameofguardian:

Relationship:

Contactno.:

Address:

C.ADDITIONALINFORMATION

Areyouallergictoanything?

Typesofallergy:

Areyouvegetarian?Pleasespecifywhatkindofvegetarian:(strictvegan...etc)

Doyourequireavegetariandiet?

Anyotherspecialrequests?Arrivalanddepartureinformation.

The2012AssociationofLawStudents

ofthePhilippines,Inc.(ALSP)Annual

NationalConventionTackl ing Def ic iencies in Phi l ippine Mining Laws and Pol ic ies

Apri l 24-27, 2012

(Ateneo de Davao Univers i ty , Davao City)

***NOTICE***

1.Pleasefillallpartsoftheform,thenclick'file','saveas'andrenamethefileusingthenameofyourschoolandfollowedbyyournamee.g."DinoAustria".PleaseSave

asMicrosoftWordFormatand email to alspnatcon2012@yahoo.com. Each schoolshould submit the forms of its delegatestogetherat the same time toavoid

confusion.Submissionshouldbemadeonorbefore31March2012.

2.TheRegistrationfeeof(3,500)perparticipantandmembershipfeeof(1,000)perschoolshouldbepaidonorbefore31March,2012.Accountnumber:3093-5858-27.

AccountName:AssociationofLawStudentsofthePhilippines,Inc.

3.Bysubmittingthisapplication,youareverifyingthattheinformationonthisformistrueandcorrectinallrespects.Youarealsodischarginganyresponsibilityofthe

OrganizingCommitteethatmightincurfromprovidinganyinaccurateorincorrectinformation.

Kindly put yourphoto here