Registration Form

Conference Registration Form

Complete your registration.
Full Name*

First NameLast Name
Type your PRC No. (for Professional Teachers only)
Country*
Name of School or Institution*
Position*
Program/Course*
E-mail*
Alternate E-mail (personal)
example@example.com
Phone Number*

Area CodePhone Number
Registration Type*
For Group registration, list the names and email addresses here.
If you register as presenter, upload your 250-word abstract.

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If you register as presenter, upload your latest Photo (2X2 in)

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If you register as a presenter, type your short biography (paragraph form).
Table of Fees

3-day conference at STI West Negros University, Bacolod City
Bank Payment

Bank: Security Bank (Checking); Name: GEO-Global Educators Professional Enhancement International Inc. Account Number: 0000051504060; SWIFT Code (for international transactions): SETCPHMM
Upload your proof of payment*

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Conference Registration Form