Workshop on Modeling TVET Colleges for Entrepreneurship

7 April 2018 I Selamat Pagi Indoensia Senior High School

Malang, Indonesia

PARTICIPATION FORM (International Participants)

Please fill out this form and return it to the Organiser by or before Friday 30 March 2018.
by email: secretariat@seameo.org; tvet@seameo.org and cc: piyapa@seameo.org

I. PARTICIPANT’S PROFILE
Title: Mr. First Name: Robert Last Name: Geronimo

Position: Compliance Officer - FIN

Office Division/Unit: Makati Office

Institution: Don Bosco One TVET Philippines, Inc.

Address: Chino Roces Ave. cor Arnaiz St. Braga Bldg., Don Bosco Technical Institute, Makati City

City: Makati City Postcode: 1230 Country: Philippines

Tel: +6327527511 Fax: +

Mobile Number: +639177026798

Email: rlgeronimo@one-bosco.org Institution Website: www.db1tvet.com

II. REGISTRATION FEE

The registration fee for 1 person is 1,050,000 ID Rupiah/participant (USD 76.00 or 2,380 Bht) This
registration fee at cost includes the followings. The payment in ID Rupiah can be made at the SMA Selamat
Pagi, Indonesia.

• A room for sharing at SMA Selamat Pagi Indonesia for 2 nights on 6-8 April (Check in 6 April/ Check
out 8 April)
• 6 Meals for 2 days: Dinner on 6 April; Breakfast, Lunch and Dinner on 7 April; Breakfast on 8 April;
and Lunch box on 8 April.
• Airport transfer: Arrival and departure at Malang Airport only

III. HOTEL RESERVATION

All international participants will be arranged to stay at the Hotel of SMA Selamat Pagi Indonesia on 6-8 April.
Please confirm the room and check-in/out date.

Room type: Single room

Twin room, sharing room with Dr. Marc Laurenze Celis
Period of stay: Check in date: April 6, 2018 Check out date: April 8, 2018

IV. AIRPORT PICK-UP SERVICE

SMA Selamat Pagi will provide the pick-up service for international participants from the Malang International
Airport. Please provide your flight details:
Arrive SURABAYA SEA TVET Date: Flight Number: Arrival Time:

Swiss-Belinn Manyar Surabaya

Depart SURABAYA SEA TVET Date: Flight Number: Departure Time:

Swiss-Belinn Manyar Surabaya