18th R4AB TC Flyers Registration 1

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REGISTRATION FORM

PHILIPPINE INSTITUTE OF

Tel/Fax Nos. 709-3415


Tel. Nos. 709-3936 to 38
Cubao, Quezon City 1109 Philippines
PICE Building #4 Albany Street,
*The PICE National Headquarters Office
If undelivered, please return to:
18th Regions IV-A & IV-B Technical Conference
10-11August 2017
Development Academy of the Philippines,
CIVIL ENGINEERS, INC.
Tagaytay City, Cavite

NAME __________________________________________________________

C
OF
PHILIPPINE INSTITUTE
PRC NO. ____________________ EXPIRY DATE _________________________

IVIL ENGINEERS, INC.


DATE OF REGISTRATION ___________________________________________

CHAPTER _______________________________________________________

MEMBERSHIP TYPE ( ) Associate ( ) Regular ( ) Life ( ) Fellow

SECTOR ( ) Government ______________________________________

( ) Private ___________________________________________

Others ___________________________

HOME ADDRESS _________________________________________________

_______________________________________________________________

TEL NO. ___________________________ FAX NO. _____________________

CELLPHONE NUMBER _____________________________________________

COMPANY NAME ________________________________________________

POSITION ______________________________________________________

COMPANY ADDRESS ______________________________________________

_______________________________________________________________

TEL NO. ________________________________________________________

FAX NO. ________________________________________________________

E-MAIL _________________________________________________________

Philippines, Tagaytay City, Cavite


Development Academy of the
SIGNATURE ______________________________________________________
A Continuing Professional Development Program
of the Philippine Institute of Civil Engineers, Inc.

10-11 August 2017


by the Regional Conferences Committee
PAYMENT VALIDATION (to be filled-up by the Secretariat)
10-11 August 2017
AmountPaid P _________________ OR No. _________________________ Development Academy of the Philippines,
Tagaytay City, Cavite
Cashier Name __________________ Claim Stub Issued _______________
PARTICIPATING CHAPTERS:
Received By: _____________________________________________________ CAVITE (HOST), BATANGAS, LAGUNA, QUEZON
PROVINCE, RIZAL, SAN PABLO CITY, MARINDUQUE,
OCCIDENTAL MINDORO, ORIENTAL MINDORO,
PALAWAN AND ROMBLON
TECHNICAL CONFERENCE
For more details, visit, call, text or send e-mail to:
The PICE National Headquarters Office
THE CONFERENCE ORGANIZERS
(Tentative Program) PICE Building, 4 Albany Street, Cubao, Quezon City 2017 National Board of Directors Council of Advisers (Past Presidents)
10August2017 (Thursday) ERNESTO S. DE CASTRO, Ph.D.
Tel. Nos. (02) 7093936 to 38/ (02) 7093505/(02) 7093429/7093940 MARIA CATALINA E. CABRAL, Ph.D.
Tel/Fax Nos. (02) 7093415 Immediate Past President
7:30 AM Conference Registration Cell Nos. (0917) 3152765/(0922) 3022296 / (0928) 3410623 President
Email add: piceoperations@gmail.com CLEMENTE A. IBO EUGENIO R. PIPO JR.
9:00 AM Opening Ceremony -
Website: www.pice.org.ph
1st Vice-President DAVID G. SANCHEZ
 Invocation ROMEO S. MOMO
ERDSAN RENE S. SUERO
 National Anthem ENGR. CESAR S. RAMOS
ENGR. JOSEFINO M. MELGAR, JR. 2nd Vice-President BENITO M. PACHECO, Ph.D.
 Introduction of Personages & Chapter PICE Region IV-A Coordinator
PICE Region IV-b Coordinator JAIME A. PACANAN, Ph.D.
C.S. Ramos Construction APRIL FRANCES AGATHA G. FLORES VENANCIO I. BESAVILLA, JR.
Delegates DPWH Mindoro Occidental District
258 Bucandala, Imus, Cavite Secretary WILLY T. GO
 Welcome Remarks Tel/Fax No. (046) 471-1927
Engineering Office
JUANITO P. ABERGAS
 Opening of the Conference Mamburao, Occidental Mindoro RESTITUTO C. BAUTISTA
Cell Nos. (0917) 805-2594 / PRIMITIVO C. CAL, Ph.D.
Cell Nos. (0918) 946-9187 Treasurer
 Introduction of Keynote Speaker (0925) 721-5065
Email add: jm_melgar@yahoo.com
MOCAMAD M. RAKI-IN, SR.
 Keynote Address Email add: cs_rams@yahoo.com PETER N. AVENTAJADO
ANGEL T.TORREJON
MANUEL M. BONOAN
 Presentation of Plaque of Appreciation Auditor EFREN H. SISON
by the Regional Coordinator and PARTICIPATING CHAPTERS DIMAS S. SOGUILON BASHIR D. RASUMAN
Chapter Presidents PICE CAVITE CHAPTER (HOST) PICE MARINDUQUE CHAPTER Business Manager NELSON Q. IRASGA
 Acknowledgement ENGR. NOLASCO V. BAYOT ENGR. RAMEL J. NARANJO DAVID M. CONSUNJI
Chapter President
Chapter President ROMEO C. ROSARIO ANGEL L. LAZARO III, Ph.D.
11:00 AM Visual Screening for Structural Assessment of
Amadeo Municipal Hall, Pob.
Department of Public Works and Highways P.R.O.
Amadeo, Cavite
Bangbangalon, Boac, Marinduque ROMEO S. CAPARROS
Buildings
Cell No. (0917) 577-2999
Cell No. (0921) 960-6092 Engr. Naranjo Chancellor, College of Fellows
Email add: jaybeesprints@gmail.com
Email add: Lamonte_robert@yahoo.com
Directors
Chapter Sec. Engr. Rodney Costelo MARIANO R. ALQUIZA DAVID G. SANCHEZ
12:00 NN Luncheon/Interaction of Delegates (0936) 875-1620 / (0908414-4616)
ROSEIN A. ANCHETA, JR., Ph.D. Executive Secretary
Email add: picecavite@yahoo.com.ph PICE OCCIDENTAL MINDORO CHAPTER
CARY H. BEATISULA
1:30 PM Building Information Modelling PICE BATANGAS CHAPTER
ENGR. ROBERTO G. DIMAYACYAC
IXOPERIO R. BONZON
ROBERT S. LICUP, Ph.D.
ENGR. LEON M. MANALO
Chapter President
ADOR G. CANLAS National Administrative Officer
1225 J. Daño St., Sablayan, Occidental Mindoro
2:30 PM Project and Construction Management Chapter President Fax No. (043) 727-2881 EVELYN B. CAYAT
Batangas City Engineers Office
P. Herrera St. Poblacion 6, Batangas City, Batangas
Cell No. (0920) 932-7705 Engr. Dimayacyac ANGEL N. JAURIGUE
Email add: rgdimayacyac@yahoo.com
3:30 PM Coffee Break Tel No. (043) 706-0995
Cell No. (0920) 926-7654 Engr. Manalo
Engr. Jelyn P. Dinglasan, Chap Secretary REGIONAL CONFERENCES COMMITTEE
PICE ORIENTAL MINDORO CHAPTER
3:45 PM Geotechnical Engineering Cell No. (0917) 561-5620
Tel. No. (043) 723-3023 ENGR. ERWIN DG. UMALI
Chairman: ERDSAN RENE S. SUERO
Email add: picebatangas@gmail.com / Chapter President Vice- Chair: ADOR G. CANLAS
4:45 PM
leemanalo@yahoo.com / jbpalbacal@gmail.com
Performance-Based Seismic Design PICE Building, Provincial Capitol Complex
Calapan City, Oriental Mindoro 5209 Members:
PICE LAGUNA CHAPTER
ENGR. JERRY A. MALIXI
Tel/Fax No. (043) 288-1873
Cell No. (0921) 839-5166 Engr. Umali
ROSEIN A. ANCHETA, JR. Ph.D.
5:45 PM End of Session Chapter President Cell No. of Engr. Virgilio A. Santos, Liaison Officer CARY H. BEATISULA
Office of the Municipal Engineer (0999) 998-5275/(0917) 447-9568 CLEMENTE A. IBO
Brgy. Pauli II, Rizal, Laguna
6:00 PM Meeting with the Chapter Presidents and Cell No. (0917) 823-6669/(0922) 885-2319
Regional Coordinator
Email add: jrry_malixi@yahoo.com
PICE PALAWAN CHAPTER ROBERT S. LICUP, Ph.D.
ENGR. ROYTHER P. PABLICO
PICE QUEZON PROVINCE CHAPTER
Chapter President
Overall Coordinator
ENGR. ARMANDO O. VALDEAVILLA
7:00 PM Fellowship Night and Entertainment Chapter President PICE Building, DPWH Compound, Rafols Road,
58 Jose Rizal Street, Tayabas City, Quezon 4327 Brgy. San Sta. Monica, Puerto Princesa City, Palawan CONFERENCE FEE
11Friday2017 (Friday) Cell No. (0922) 881-9889 Engr. Valdeavilla Cell Nos. of Engr. Pablico
(0920) 835-8518 / (0977) 707-9398 Includes Kit, Without hotel With hotel
Email add: medivaldeavilla@yahoo.com
9:00 AM Coastal Engineering Cell No. Chapter Secretary Email add: nimrodsagun@yahoo.com.ph Technical Papers accommodation accommodation
Engr. Ramela B. Ramirez (0933) 927-6165
and Lunch/Snacks PhP 1,500.00 PhP 2,000.00
10:00 AM Coffee Break PICE RIZAL CHAPTER PICE ROMBLON CHAPTER
ENGR. CARLOS S. GERONIMO
Chapter President ENGR. DANTE F. FETALVERO “LIMITED SLOTS ONLY” NO ON SITE REGISTRATION
10:15 AM Orientation on CPD and ASEAN Membership 4 P. Sandoval Street Burgos, Rodriguez, Rizal Chapter President
C/o Engr. Winona F. Faderogaya PLEASE PAY BEFORE JULY 31, 2017
Cell No. (0919) 586-4307 Engr. Geronimo
Email add: cager_construction@yahoo.com DPWH Romblon District Engineering Office
Odiongan, Romblon 5505
Cancellation – Any Delegate who has paid the necessary Conference Fee but will
11:15 AM Raffle and Closing Ceremony PICE SAN PABLO CITY CHAPTER Email add: winonafaderogaya@yahoo.com be unable to attend may submit the name of a substitute or replacement at any
ENGR. CLETO M. ARANA JR. Cell No. (0919) 257-2648 Engr. Faderogaya time, in writing, at least seven (7) days before the Conference. The fee maybe
Chapter President (0939) 815-9071 Engr. Fetalvero
275 Brgy. San Cristobal, San Pablo City, Laguna
refunded in full if cancellation is done 10 days before the conference. If
Cell Nos. (0927) 601-6710 / (0999) 482-8204 cancellation is made 5 days before the conference (with no replacement), the
Email add: cmaracon@yahoo.com refund will be subject to 10% service charge.

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