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Registration for Online Participants
1. Data Privacy Statement
*
I agree
By completing this registration form, you acknowledge and consent to the collection, use, and processing of your personal information by the CIDRCON Team for the purpose of managing and facilitating your participation in the event.
2.1. Salutation
*
Mr.
Mrs.
Miss
Dr.
Prof.
Atty.
Engr.
Hon.
2.2. First Name
*
e.g., Juan
2.3. Middle Initial
e.g., A.
2.4. Last Name
*
e.g., Dela Cruz
2.5. Suffix
e.g., Jr.
2.6. Nickname
*
e.g., Juan
3. Gender
*
Male
Female
Prefer not to say
4. Email
*
e.g.,
[email protected]
5. Mobile Number
*
e.g., 0912 345 6789
6. Affiliation
*
Company / Organization / School / Association (e.g., University of the Philippines Diliman)
7.1. Address (line 1)
*
Unit / House No., Street Name
7.2. Address (line 2)
Subdivision / Village
7.3. City / Town
*
e.g, Quezon City
7.4. Postal / Zip Code
*
e.g., 1001
7.5. State / Province
*
e.g., Metro Manila
7.6. Country
*
e.g., Philippines
8.1. Sector
*
Academe
Government
Industry
NGO
Media
Others
8.2. If you chose ‘Others’ in item 8.1., please specify here
9.1. Role Category
*
Executive
Manager
Researcher
Educator
Student
Business Owner
Others
9.2. If you chose ‘Others’ in item 9.1, please specify here
10. Job Title
*
e.g. Project Supervising Technical Specialist
11. Certificate of Attendance
*
Digital Copy
Hard Copy
A digital certificate will be sent via email. Hard copy will be sent to the registered address, and delivery fee will be shouldered by the participant. Please make sure that your salutation, name, and suffix (if applicable) is correct and free of errors. We will use this in the Certificate of Attendance.
12. Suggestions and Questions
*
We value your insights and feedback. Please share any questions, comments, or suggestions you may have about the conference.
Submit
If you are human, leave this field blank.