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Registration Form - Digital Poster Making Contest

The document is a registration form for a team participating in a digital poster making contest. It includes sections for team and member information as well as submission details and a waiver. Team SCCM from Region 1 is registering with primary contact Florante Borjal Pilapil who is an 18 year old male student at St. Camillus College of Manaoag Foundation Inc.

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VergilEsteves
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36 views

Registration Form - Digital Poster Making Contest

The document is a registration form for a team participating in a digital poster making contest. It includes sections for team and member information as well as submission details and a waiver. Team SCCM from Region 1 is registering with primary contact Florante Borjal Pilapil who is an 18 year old male student at St. Camillus College of Manaoag Foundation Inc.

Uploaded by

VergilEsteves
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Registration Form

TEAM INFORMATION
Name of the team: SCCM
Region: REGION I
Primary contact no.: 09156900955

TEAM MEMBERS’ INFORMATION


TEAM MEMBER 1
FLORANTE BORJAL PILAPIL JR.
Name:
FIRST NAME MIDDLE NAME SURNAME

Signature:

Grade / Year level: GRADE 11 - STEM


School: ST. CAMILLUS COLLEGE OF MANAOAG FOUNDATION INC.
School address: BRGY. LICSI MANAOAG, PANGASINAN, PHILIPPINES
Age: 18
Gender: MALE
Email address: [email protected]
Contact no.: 09156900955
TEAM MEMBER 2

Name:
FIRST NAME MIDDLE NAME SURNAME
Signature:
Grade / Year level:
School:
School address:
Age:
Gender:
Email address:
Contact no.:
TEAM MEMBER 3

Name:
FIRST NAME MIDDLE NAME SURNAME

Signature:

Grade / Year level:


School:
School address:
Age:
Gender:
Email address:
Contact no.:

Page 1 of 2
Registration Form
SUBMISSION INFORMATION
Title of digital poster: TRANCENDENCE
Link to the digital poster: https://drive.google.com/drive/folders/1g3PB6FHqGRdRjWr1JBUpwJsXVSOKn-tv?usp=sharing

Description of the poster:

This digital artwork represents the transcendence of Nuclear Science and Technology. Nuclear science and technology
entail transcendence in the sense that they always attempt to go beyond the current level of knowledge in order to achieve
a deeper and more comprehensive grasp of the world's structure. This is part of a broader human trait in that it transcends
limits of knowledge, awareness, and public understanding of the applications and advantages of nuclear science and
technology, particularly nuclear energy, with a focus on its role in boosting the country's post-pandemic recovery.

WAIVER
In consideration of the opportunity to submit our poster entry in this NucleART 3.0 Digital Poster Making Contest organized
by the DOST - Philippine Nuclear Research Institute (PNRI),

• I/We irrevocably give the PNRI the right and permission to use, copy, alter, distribute, publish, and display the
Poster that our team submitted in any other medium or format for any legal purpose.
• I/We acknowledge and agree that PNRI may post our Poster on the Internet bearing my/our name(s) and allow
the public to vote and comment on the material.
• I/We attest that there is no copyrighted material in our Poster.
• I/We attest that we created the Poster and did not ask for help from professionals in creating or editing the poster.
• I/We also certify that all information provided in this registration form is true and complete.

Team member 1 Team member 2 Team member 3


Name FLORANTE BORJAL PILAPIL JR.
Signature

Page 2 of 2

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