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in collaboration with: REGISTRATION FORM Awareness Seminar on ISO 9001:2015 BS EN 15224 QMS for Healthcare Service 29 October 2018, Monday NKTI Auditorium National Kidney & Transplant Institute, East Avenue, Diliman, Quezon City REGISTRATION FEE (Inclusive of Training Fee, Meal, Materials and Certificate) Government : P2,000 + VAT | Private: P2,500 + VAT First-come-first-serve. Limited seats only. Please register on or before 17 October 2018 Name of Delegate: Company Name: ☐ Private ☐ Government Position: Address: Tel. No.: Fax No.: Mobile: Email: For Additional Delegate/s (please use extra sheet if necessary) Name Title Email 1. 2. 3. Please choose one only ( ü ) AM SESSION (9am to 1pm) : ¨ PM SESSION (2pm to 6pm): ¨ Contact Person: Signature: How to Register Payment Instructions 1. Send this Registration Form through email: [email protected] or FB Messenger: Health Core 2. Attach copy of Deposit Slip as proof of payment. 3. A confirmation email will be sent by Secretariat that will serve as your Pass / ID to the workshop. Health Core International Consultancy Inc. Union Bank - P. Tuazon, Cubao Branch Peso Current Account No. 00204-000682-0
