INTERNATIONAL FEDERATION OF PROFESSIONAL MANAGERS

www.ifpmphilippines.org
info@ifpmphilippines.org

CHRP Membership Application

PERSONAL DATA
MS. Last/Family Name/Surname: __________________________________________________________
Mr./Ms./Mrs./Miss/Dr. __________ BUENAVENTURA
LIGAYA
First/Given Name: ___________________________________ GABRIEL
Middle Name: _______________________________ Suffix: __________
□ Male □ Female 07 / ____
Date of Birth (mm/dd/yyyy): ____ 1979/
08 / ____

EDUCATION & PROFESSIONAL INFORMATION CONTACT INFORMATION

□ BACHELOR’S DEGREE 2000
Year: ____________ HOME MAILING ADDRESS
B3, L6, SHIRMAL
BACHELOR OF ARTS IN SOCIAL SCIENCES
Course: ______________________________________________
SUBD., CABATANGAN
Home / Bldg. No., Street: _________________________________
University: UNIVERSITY
____________________________________________
OF THE PHILIPPINES MANILA
□ MASTERAL □ DOCTORAL Year: ____________ ZAMBOANGA CITY
City: _________________________________________________
Course: ______________________________________________ 7000
ZAMBOANGA DEL SUR Postal Code: ______
Province: ___________________________
University: ____________________________________________
Phone Number: ________________________________________
□ OTHER __________________________ Year: ____________
Course: ______________________________________________ 09778558572
Mobile Number: ________________________________________
University: ____________________________________________
Personal E-mail Address:ligayagbuenaventura@gmail.com
________________________________
Licence No.: __________________ Year: ____________
BUSINESS MAILING ADDRESS
PAYMENT OPTIONS City Human Resource Mngt. Officer
Position: ______________________________________________
1. Direct deposit at any BDO branches:
City Government of Lamitan
Company Name: _______________________________________
Bank name: BDO Ortigas
Account name: Institute of Entrepreneurial Management, Inc. Rizal Avenue
Unit/Bldg. No., Street: ___________________________________
Account No.: 343-020-7724

2. Payment at IFPM office.

Lamitan City
City: _________________________________________________

Basilan Province Postal Code: ______

Province: ___________________________ 7302
DATA PRIVACY
Phone Number: ________________________________________
Upon signing this form you are agreeing that the personal data obtained from the registration form
entered and stored within the Institute’s authorized information and communications system and will Fax Number: (Country code/Area code/City code) _____________
only be accessed by the IFPM authorized personnel. Furthermore, the information collected and
stored in this form shall only be used for the following purposes: elgulamitan@yahoo.com
E-mail Address: ________________________________________
• Announcements / promotions of events, programs, courses and other activities offered / organized
by the Institute and its partners;
FEES
• Activities pertaining to establishing relations with participants/members/alumni;

• IFPM Philippines has the right to share your information to our related affiliate companies, institu- □ Certification Package Php 7,500
tions, and or subsidiaries;

• IFPM Philippines shall not disclose the participants/members/alumni personal information without □ Via courier with additional fee of Php 300.
their consent and shall retain this information over a period of ten years for effective implementation,
research analytics, and management. Preferred mailing address: □ Home □ Business

ACCEPTANCE OF SUBSCRIPTION
I declare that all of the information contained in this application is true and correct and I agree to provide any supporting documentation requested by the Institute. If accepted, I
agree to abide by the International Federation of Professional Managers’ Code of Professional Conduct and Continuing Professional Education requirements. I understand that I
must renew my subscription annually to enjoy the services provided by the Institute including eligibility privileges and retention of professional designation.

Signature _____________________________________________________ 06/24/2019

Date: _____________________________________________________

OFFICIAL USE ONLY: APPLICATION RECEIVED ON: __________________

INVOICE NO. ________________ INVOICE DATE: ___________________________ [ ] COMPLETED REQUIRED DOCUMENTS
OR NO. ____________________ DATE PAID: ______________________________ [ ] APPROVED MEMBERSHIP NO. ______________
DCR NO. ___________________ VERIFIED:________________________________ [ ] NOT APPROVED REASON: _____________________