BASIC TRAINING FOR POLLUTION CONTROL OFFICERS (PCOs)
at Development Academy of the Philippines (DAP), Brgy. Sungay East, Tagaytay City
(*This form is for April 24-28, 2018 Basic Training only)
Start
 
What is your NICKNAME? *

 
Hi, {{answer_xYgPW0sHzcV5}}!

Thank you for choosing us as your training provider. Please note that this form has three parts:

Part 1 is about your personal information.
Part 2 is about your company profile.
Part 3 is about the training fee and mode of payment.

Please answer each item as accurately as possible.


 
PART 1. PARTICIPANT INFORMATION

 
{{answer_xYgPW0sHzcV5}}, we're gonna be needing your full name. Let's start with your LAST NAME. *

 
Your FIRST NAME? *

 
And your MIDDLE INITIAL. *

 
Nice to meet you, {{answer_xYgPW0sHzcV5}}! Please mark your gender below. *



 
What is your contact number, {{answer_xYgPW0sHzcV5}}? *

 
What is your EDUCATIONAL ATTAINMENT?

(Name of School, Degree Attained, Year Graduated)
 
Part 2. COMPANY PROFILE

 
What is the name of your OFFICE/COMPANY, {{answer_xYgPW0sHzcV5}} ? *

 
And what is your POSITION in {{answer_ki7Alb9w1gTL}}? *

 
Where is {{answer_ki7Alb9w1gTL}} located? *

 
It's LANDLINE NUMBER? *

 
What is the nature of {{answer_ki7Alb9w1gTL}}'s operations? *


 
Chemical Usage, Storage and/or Handling *

(using, storing, and/or handling chemicals which are not listed in PCL)
     
 
Hazardous Waste Generated: *


 
Air Emission: *


 
Solid Waste Generated: *


 
Waste Water Discharge: *


 
Sludge Generated: *


 
PART 3. TRAINING FEE AND MODE OF PAYMENT

 
Are you or your company a PCAPI R4A member? *

PCAPI RA member is an individual or an institution who applied for membership in the Association and paid their annual dues. Proof of membership (ID or certificate/plaque) must be available upon request.
     
 
TRAINING FEE for MEMBERS


 
You are about to register as MEMBER: LIVE-IN WITH HANDOUTS which amounts to a Registration Fee of Php 17 575.00

 
You are about to register as MEMBER: LIVE-IN WITHOUT HANDOUTS which amounts to a Registration Fee of Php 16 575.00

 
You are about to register as MEMBER: LIVE-IN WITHOUT HANDOUTS which amounts to a Registration Fee of Php 13 775.00

 
You are about to register as MEMBER: LIVE-OUT WITHOUT HANDOUTS which amounts to a Registration Fee of Php 12 775.00

 
TRAINING FEE for NON-MEMBERS

(inclusive of meals, training materials, e-copy of presentation materials and training certificate)

 
You are about to register as NON MEMBER: LIVE-IN WITH HANDOUTS which amounts to a Registration Fee of Php 18 500.00

 
You are about to register as NON MEMBER: LIVE-IN WITHOUT HANDOUTS which amounts to a Registration Fee of Php 17 500.00

 
You are about to register as NON MEMBER: LIVE-OUT WITH HANDOUTS which amounts to a Registration Fee of Php 14 500.00

 
You are about to register as NON MEMBER: LIVE-OUT WITHOUT HANDOUTS which amounts to a Registration Fee of Php 13 500.00

 
Are you sure?


 
MODE OF PAYMENT *

If through bank, please email us your deposit slip.

 
In the email address that you registered here, we will send you a confirmation email of your slot reservation.

If you have any more queries, you may reach us through:

Ms. Grace Engle
M: 0917-814-4751
0998-534-7850
T: (049) 501-1706
E: pcapir4a@yahoo.com
pcapi.calabarzon@gmail.com

Thank you very much for answering all items, {{answer_xYgPW0sHzcV5}}!

We are excited to meet you at the training! See you!
Powered by Typeform
Powered by Typeform