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Universitas Registration Formsem.lipa@ive.org2023-05-09T11:11:51+00:00

Universitas

REGISTRATION FORM
for Universitas 2023

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Basic Personal Data

All of your data are confidential and only recorded for contacting purposes.

Name *

First

Middle

Last

Place N/A for unapplicable boxes.

Gender *

Male
Female

Date of Birth *

Age

I am 18 years old.

Email *

Email

Confirm Email

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Education Background

Education Level *

Specified Education Level *

School Name *

School Year *

Days of Participation

Full activity charges PHP 1000.00 or PHP 200 per day. Please choose how many days are you going to join. We are going to charge accordingly.

Days of Participation *

If you are not arriving on April 19, please specify your arrival date.

Arrival Date and Time *

Date

Time

Contribution Fee

For the preparation of this wonderful Universitas 2023, each participant should contribute PHP 200.00 (Two-hundred Philippine Pesos) per participating day, you may pay online through designated methods or pay upon arriving. For financial assistance, please personally approach us by email or phone call.

Paying Method *

Pay upon Arriving
Pay through GCash

If you want to pay via GCash send it to Santiago Sylvester 0939-560-6258

Paying Method (copy) *

Pay upon Arriving
Pay through GCash

If you want to pay via GCash send it to Santiago Sylvester 0939-560-6258

Paying Method (copy) (copy) *

Pay upon Arriving
Pay through GCash

If you want to pay via GCash send it to Santiago Sylvester 0939-560-6258

Paying Method (copy) (copy) (copy) *

Pay upon Arriving
Pay through GCash

If you want to pay via GCash send it to Santiago Sylvester 0939-560-6258

Paying Method (copy) (copy) (copy) (copy) *

Pay upon Arriving
Pay through GCash

If you want to pay via GCash send it to Santiago Sylvester 0939-560-6258

Paying Method (copy) (copy) (copy) (copy) (copy) *

Pay upon Arriving
Pay through GCash

If you want to pay via GCash send it to Santiago Sylvester 0939-560-6258

Total Amount

Php 0.00

Message / Inquiry

Please mention to us your concerns, we shall reply to you personally as soon as possible. Anyway, you may still contact us at any moment when you have a doubt!

Message

Confirmation

Please double-check your details before you submit them.

Personal Info Confirmation *

I confirm all of my personal information is correct.

Agreement *

I agree that upon registration, Universitas 2023 will use my personal information for the activity purposes. All personal information is confidential.

Reminder:

Please contact us if you have done your payment through GCash