ESSAY WRITING COMPETITION

Dakak Park and Beach Resort, Dapitan City, Philippines

February 5 – 8, 2019

REGISTRATION FORM

NAME OF CONTESTANT: ……………………………………………………………………………..

(Family Name, First Name, Middle Initial)

COACH/CHAPERON: ……………………………………………………………………………………
(Family Name, First Name, Middle Initial)

NAME OF INSTITUTION:…………………………………………………………………………………

ADDRESS:………………………………………………………………………………………………….

COUNTRY:………………………………………………………………………………………………….

MOBILE NO.: ………………………… EMAIL: …………………………………………………………

REGISTRATION FEES:

STUDENT CONTESTANTS:

For Foreign Participants: 200 USD (per person)

For Local Participants: Php 4500.00 (per person)

BANK DETAILS:

Bank: Land Bank of the Philippines

Account Name: JOSE RIZAL MEMORIAL STATE UNIVERSITY
Account No. : 3802 -1001-40

Please type and return the completed form to the Event Secretariat by email:
jrmsu.vpred@yahoo.com.ph on or before January 18, 2019.