REGISTRATION FORM

Central Luzon State University San Jose, Nueva Ecija

August 31 - September 1, 2019

Full Name:
Address:
Email Address: Mobile Number:
15 CPD UNITS PHP 3,000.00

Course/Program Title: (CHECK [✓] the box of your preferred topic, choose ONE [1] only)

 International Training-Workshop on 21st Century Action Research for Filipino, Araling

Panlipunan, Edukasyon sa Pagpapakatao and MAPEH (Music, Arts, Physical Education and
Health)
 International Training Writeshop on the Design of Technology and Livelihood Education
(TLE) and Technical-Vocational-Livelihood (TVL) Modules

 Training Workshop on the Challenges of ICT Integration in the Teaching-Learning Process

for Science and Mathematics

_________________________________________
Signature over Printed Name

HOW TO REGISTER
To register, the fee (PhP 3,000.00) Acct. Name: Winston John Romero Casio
MUST BE DEPOSITED to any of BPI 9 7 7 9 – 1 4 7 5 – 4 9
the following back accounts: EastWest 2 0 0 0 – 2 4 7 7 7 – 6 4 1
PNB 1 1 1 3 – 1 0 0 4 – 6 5 4 2
Dietary Restrictions:
 Allergies: _________________________
 Religious Prohibitions: ______________
***Write your name on the deposit slip, scan or take a photo and send it to
inquiry.pcpd@gmail.com or www.facebook.com/pcpdtraining with your complete name,
address, date of birth, school or company/agency and contact details.

Please bring the hard copy of the deposit slip on the lecture dates.

Tel. No. (02) 418-0975; (02) 426-5648; 0917-805-3370; 0933-867-4931