2023 PHILIPPINE NUCLEAR SCIENCE OLYMPIAD (PNSO)

REGISTRATION FORM

Prior to filling-out this registration form, the student should have the following:

1. The student should have fully read the guidelines for the 2023 PNSO
2. Prepared with the signed endorsement letter from school principal/lead
3. School ID photo
4. 1 x 1 ID photo

Student Representative

First Name:

Middle Name:

Last Name:

Year Level:

Age: Gender:

Birthdate:

Email Address:

Name of School:

Address of School:
 Public High School
Region:
 Private High School
Name of School
Principal/Head:
Name of Adviser/Coach:
Email address:

______________________ ______________________ ______________________

Signature of Student Signature of Adviser Signature of School Principal/Head

Parental Consent/ Waiver for Student Representative

This is to certify that I am giving my full consent to my son/daughter, named above, to travel to Metro Manila for
the 2023 Philippine Nuclear Science Olympiad. I further acknowledge that PNRI and the PNSO committee will
not be liable for any untoward incident that may occur in connection with my son/daughter/s participation to the
2023 PNSO.

Name of Parent/Guardian Date

(Signature over printed name)

Contact number/details of Guardian in case of an

emergency:
___________________________________