SPECS FORM: TCH-CF-00-18

Effective: January 01, 2018

Society of Philippine Electrotechnical Constructors and Suppliers, Inc.

C O S H - REGISTRATION FORM
FULL NAME: _____________________________________________________________________
GIVEN NAME M.I SURNAME
Company: _____________________________________________________________
Email Address: _________________________________________________________
Mobile: ______________________________________________________________
Signature: ____________________________________________________________
PAYMEN: Php 8,500.00 Time : 7:00 AM – 6:00 PM
Date of Seminar: Please check (/) your schedule.
 May 21, 22, 23 & 24, 2019 (Tuesday, Wednesday, Thursday & Friday)
VENUE: 3RD FLOOR E. VIRATA HALL, EMILIO JACINTO STREET, UP, DILIMAN, QUEZON CITY

 Requirements:
 If STE - 3 Years Experience with Valid PRC License
 If Safety Officer – High School Graduate, College Level & College Graduate
 Please bring at least 4G USB
 To register, please fill-up this registration form and forward to SPECS Secretariat thru telefax no. 413-0994 or
you email at technical.specsphils1968@gmail.com or for further inquiries call up 413-0994 or 722-4725; CP
No. 0928-461-7470 or 0917-931-1009
 Deposit your registration fee to any BDO Branch.
Acct Name: SPECS Acct. No.: 00-216-008-0930 Bank: BDO (EDSA - Cubao Branch)
 Payment on SITE – CASH only
NOTE: Schedule and Venue may change without prior notice. Kindly confirm Schedule and Venue at the SPECS
Secretariat before the actual date of the seminar.