Society of Philippine Electrotechnical

2/F IIEE Bldg., No. 41 Monte de Piedad St., Cubao, Quezon City, Philippines 1111
Constructors
: 63(02) 722-4725; & Suppliers,
; 413-0994; 386-8782 : specsphils_68@yahoo.com Inc.
: www.specs.org.ph

REGISTRATION FORM
FULL NAME:
GIVEN NAME M.I SURNAME Please attach 2 x 2
Company: ID Picture with white
background here
Email Address: AMO Seminar
Mobile: Landline: Participant Only

Signature:
PLEASE CHECK PREFERRED SEMINAR AND SCHEDULE
AMO SEMINAR DATE: _____________________ COSH SEMINAR DATE: ____________________
Registration fee P5,500 / pax Registration fee P8,500 / pax
Reservation placed one (1) week before the event will incur
additional fee of 500 per participant. Requirements:
STE - 3 Years Experience with Valid PRC License
Requirements:
Safety Officer High School Graduate, College Level &
2 Years Experience Managerial Position
College Graduate
Age - Not less than 25 years old
Please bring at least 4G USB
Please bring at least 4G USB

To register, please fill-up this registration form and forward to SPECS Secretariat thru telefax no. 722-4725; 413-0994 or
email at specsphils.68@gmail.com together with bank transaction IF PAID IN BANK. Deposit your registration fee to any
BDO Branch
NOTES: Account Name: SPECS Account No.: 0021-6008-0930 Bank: BDO EDSA-Cubao
Branch
CASH ONLY is acceptable FOR ON-SITE REGISTRATION / ON-SITE PAYMENT
Kindly confirm Schedule & Venue before the actual date of the seminar as these may change without prior notice
For further inquiries call up 413-0994 or 722-4725; CP No. 0928-461-7470 or 0917-931-1009