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Registration-Form Final

The document is a registration form for a local government conference with details on 26 participants including their names, positions, contact information, and t-shirt sizes. It also provides notes on registration procedures and bank details for payment of registration fees.

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Ronnie Manao
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0% found this document useful (0 votes)
113 views

Registration-Form Final

The document is a registration form for a local government conference with details on 26 participants including their names, positions, contact information, and t-shirt sizes. It also provides notes on registration procedures and bank details for payment of registration fees.

Uploaded by

Ronnie Manao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PhALGA REGISTRATION FORM

CONFERENCE: 16th SOUTHERN LUZON GEOGRAPHICAL CONFERENCE


PROVINCE: Romblon
LGU: San Agustin
CONTACT PERSON: Natslio C. Montesa
CONTACT NO.: 09185008213
EMAIL ADDRESS: [email protected]

REGISTRATION FORM
LIST OF PARTICIPANTS
NOTE: ● T-shirt size is limited to S, M, L, XL, XXL
FOR CPAs ONLY
LAST NAME FIRST NAME M.I. POSITION LGU BARANGAY T-SHIRT SIZE CONTACT NUMBER PRC # EXPIRY DATE E-MAIL ADDRESS
SAN AGUSTIN CARMEN M
1 MADRILEJOS CLARO M PUNONG BARANGAY 09994337722
SAN AGUSTIN CARMEN L
2 TAN KARL JIM M SK CHAIRPERSON 09994337722
SAN AGUSTIN CARMEN XL
3 TAN LESLIE M BRGY. TREASURER 09994337722
SAN AGUSTIN CARMEN XL
4 MAGRACIA ROSALIE M BRGY SECRETARY 09994337722
SAN AGUSTIN DONA JUANA XL
5 MINDO ELIZABETH G PUNONG BARANGAY 09684414371
SAN AGUSTIN CABOLUTAN XL
6 MADALANG ELMO M PUNONG BARANGAY 0915008213
SAN AGUSTIN DUBDUBAN M
7 SOLANO REDEEMER D PUNONG BARANGAY 09502704596
SAN AGUSTIN DUBDUBAN XL
8 ROXAS AGUSTINA M KAGAWAD 09502704596
SAN AGUSTIN DUBDUBAN L
9 TAPAO FELIX KAGAWAD 09502704596
SAN AGUSTIN BACHAWAN M
10 DELA CRUZ KHAN M SK CHAIRPERSON 09502704596
SAN AGUSTIN CAGBOAYA M
11 MARQUEZ MAY G Brgy. Treasurer
SAN AGUSTIN BINONGA-AN L
12 SULPICIO MACHADO G PUNONG BARANGAY 09263897054
SAN AGUSTIN BINONGA-AN M
13 MARYSEL MANLOLO M APPROPRIATION 09263897054
SAN AGUSTIN LUSONG XXL
14 NATALIO MONTESA C PUNONG BARANGAY 09185008213
SAN AGUSTIN POBLACION M
15 GLADYS GAY JONGAY M ADMI NISTRATIVE OFFICER IV 09122954626
SAN AGUSTIN BACHAWAN L
16 HELEN MOTON M PUNONG BARANGAY 09684414371
SAN AGUSTIN BACHAWAN M
17 ROCHELLE DICO F BARANGAY TREASURER 09684414371
SAN AGUSTIN BACHAWAN M
18 HERBIE OSORIO M APPROPRIATION 09684414371
SAN AGUSTIN BACHAWAN XL
19 SHERILEEN MONZALES R SK CHAIRPERSON 09684414371
SAN AGUSTIN LONGBEACH M
20 CATAJAY BENJIE M PUNONG BARANGAY 09852075466
SAN AGUSTIN LONGBEACH M
21 MAZO STEPHEN F KAGAWAD 09852075466
SAN AGUSTIN LONGBEACH M
22 RIO JUNALYN G BARANGAY TREASURER 09852075466
SAN AGUSTIN POBLACION L
23 MAGSINO ERIC M BARANGAY TREASURER 09088166213
SAN AGUSTIN POBLACION XXL
24 MORALES SHOURIN ANTHONY M KAGAWAD 09088166213
SAN AGUSTIN POBLACION XL
25 RIOS JAPHET M KAGAWAD 09088166213
SAN AGUSTIN POBLACION XL
26 MANALON MARIFE M KAGAWAD 09088166213

NOTES
1) REGISTRATION PROCEDURES:
A Download the excel format of this form at www.phalga.org. and fill-in the details. You can also re-type/re-produce the form in excel format, provided that the required columns/details are present.
B Deposit your Registration Fees to either of the following:

ACCOUNT NAME: Philippine Association of Local Government Accountants, Inc. ACCOUNT NAME: Philippine Association of Local Government Accountants, Inc.
PAYEE (for check): PHALGA PAYEE (for check): Philippine Association of Local Government Accountants, Inc.
BANK: Banco de Oro Unibank (BDO) BANK: Landbank of the Philippines (LBP)
ACCOUNT NUMBER: 0119 4800 1495 ACCOUNT NUMBER: 1422 1064 60

C The duly-accomplished Registration Form "IN EXCEL FORMAT" AND THE scanned/photographed Validated Bank Deposit Slip shall be emailed directly to [email protected]
2) An e-mail reply-confirmation would be received for successful registration. Print a copy of the confirmation and attach the validated deposit slip for reference during the conference.
3) Deadline for registration is on March 27, 2024. Walk-in participants are NOT allowed.
4) For other issues and concerns, please contact the VP for SOUTHERN LUZON, VP Genrisa M. Medrano at 0917 869 5486.
5) Visit www.phalga.org for soft/editable copy of this file or inquire from your LGU Accountant.

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