Editable Confirmation Form-VRP

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Values Restoration Officer’s Capacity Building IX

10-13 October 2023 (Face-to-face) | 11-13 October 2023 (Virtual)


Sarrosa International Hotel & Residential Suites & Online via Zoom
CONFIRMATION FORM
The training fees are as follows:
● Zoom participants @ ₱3,500/pax ● Face-to face - Double Room Sharing @ ₱15,000/pax

● Face-to-face - Live Out @ ₱9,000/pax ● Face-to face - Single Room Occupancy @ ₱17,000/pax

● Face-to face – Triple or more Room Sharing @ ₱13,500/pax

Please note that solo beds for each participant cannot be guaranteed in triple or more room-sharing accommodation. To ensure your comfort and convenience, we
recommend selecting either double room-sharing or single occupancy options.
NAME DESIGNATION AMOUNT (enter fee CONTACT NO. EMAIL ADDRESS
accdg to preferred/
approved mode of
participation)

Dolores D. AlvarezJuliet S. Dosol-Raganas


Pharmacist IVGuidance Coordinator
13,500.003,500.00
III Virtual
0917633485409776583276

Barbara G. Galendez Social Welfare Officer III 13,500.00 09225967770 biyayagalendez@gmail.com

Ann Margarett E. Peros Nurse III 13,500.00 09293707795 annmargarettperos@gmail.com

Marilyn B. Anonuevo Hospital Housekeeper 3,500.00 09435760615 anonuevo081@gmail.com

Marife M. Talavera Nurse III 3,500.00 09239637283 fetalavera23@gmail.com

Lawrence G. Manalili Medical Officer IV 3,500.00 09325281727 lawrencemanalili@yahoo.com

Marjorie R. Alburo Administrative Assistant III 3,500.00 09157155583 marjoriealburo15@gmail.com

Lanie L. De LeonImelda M. Principe 3,500.00


Administrative Assistant IIHead Teacher III
13500 debelen0703@gmail.coma.principe@deped.gov.
0956124042809989823100

Note: Kindly ensure to make all checks/cash payable to:

Account Name: CRFV INC GCash Account Name: Micah A. Tecne


Bank & Branch: Landbank, Naguilian Road, Baguio City GCash Account No.: 0999-221-6826
Account Number: 3551-0077-14

Please send a copy of deposit slip through telefax number (074) 244-5375 or email at crfv.convention@gmail.com before September 30, 2023.
CRFV TIN No. 005-864-524-000 (non-VAT)
Values Restoration Officer’s Capacity Building IX
10-13 October 2023 (Face-to-face) | 11-13 October 2023 (Virtual)
Sarrosa International Hotel & Residential Suites & Online via Zoom
ph
Andrea A. ValdezRheamae M. Lalusin 3,500.003,500
Document WriterTraining Officer 0916568789909662512726
abarrientosandrea@gmail.comlalusinrhea01@gmail.com

Chona R. BautistaNoren S. Arreglado Nurse IIIHRD Chief 3,500.003,500


09228435344756-6337 local
chonaremo48@gmail.comnsarreglado@batelec2.com.ph
149

Agency & Region: Batangas II Electric Cooperative Inc. ________ QUIRINO MEMORIAL MEDICAL CENTER-NCR
___________________________________
Contact Person & Designation: DOLORES D. ALVAREZ-PHARMACIST IV________
Contact No. (043) 756-6337 local 149 09176334854

_Dolores D. Alvarez _Rheamae M. Lalusin_


Conforme’
Signature Over Printed Name of Authorized Representative

Note: Kindly ensure to make all checks/cash payable to:

Account Name: CRFV INC GCash Account Name: Micah A. Tecne


Bank & Branch: Landbank, Naguilian Road, Baguio City GCash Account No.: 0999-221-6826
Account Number: 3551-0077-14

Please send a copy of deposit slip through telefax number (074) 244-5375 or email at crfv.convention@gmail.com before September 30, 2023.
CRFV TIN No. 005-864-524-000 (non-VAT)

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