Filipino Digerati Association      
(Your IT and Professional Development Expert)       
www.pinoydigerati.org          

REGISTRATION FORM      

FDA08200 _ _ _
1 x 1/2 Photo

File No.________
 Surname:*
  		 First Name:*
  		 Middle Name:*
  		 Gender:  Male   Female
                   
 Profession:
  		 Certification / Licensure:
  		 Highest Educ. Qualification
  		 Marital Status:  Single  Married
                               
 Home Phone No.:
  		 Mobile No.:*
  		 Email:*
  		 
 Company Current Position:
  		 Company Name:
  		 Company Address:
  		 Company Phone:
 
 Date of Birth:*
  		 Place of Birth:
  		 Home Address:
 
(Please tick appropriate box.) Note: Training venue will be advised.
  Basic Coursesasic Courses Time:  Advance Courses (members only) Time:
   Basic Computer 8:00am - 9:30am    MS Word - Advance 9:30am - 11:00am
   Web Design HTML 8:00am - 9:30am    MS Excel - Advance 11:00am - 12:30am
   MS Word - Core 9:30am - 11:00am    MS Access - Core 12:30am - 2:00pm
   MS Excel - Core 11:00am - 12:30pm    MS Access - Advance 2:00pm - 3:30pm
   MS PowerPoint 12:30am - 2:00am    MS Project (Theory) 4:00pm - 5:30pm
  Workshops (members only) Time:  Membership Status  
   PC Installation 2:00pm - 4:00pm    New Member  
   PC Networking 4:00pm - 6:00pm    Non-Member Mem. No: __________
   Other Workshops 4:00pm - 6:00pm    Current Member Validity: __________

Note: Schedules may be changed depending on the availability of the instructors.

DECLARATION:

I HEREBY declare that all the information I have set forth above are true and correct to the best of my knowledge and belief. Further, I DO NOT hold Filipino Digerati Association and/or any of its officers, volunteers, trainers, board of trustees, members, students and venue administrator liable for any harm/accident or any mis-fortune that may cross my way while attending the training courses. In addition to, I will faithfully follow all rules, regulations along with the FDA's Constitutions and By-laws.
 
   Registrant's Signature   
Signature over printed name		    Assessment Officer                 Registrar                            President             
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DECLARATION:
I HEREBY declare that all the information I have set forth above are true and correct to the best of my knowledge and belief. Further, I DO NOT hold Filipino Digerati Association and/or any of its officers, volunteers, trainers, board of trustees, members, students and venue administrator liable for any harm/accident or any mis-fortune that may cross my way while attending the training courses. In addition to, I will faithfully follow all rules, regulations along with the FDA's Constitutions and By-laws.

REGISTRATION STUB

FDA08200 _ _ _
Courses Enrolled:  

Schedule
1.  Basic  Advance
From:              To:
From:              To:
2.  Basic  Advance
IMPORTANT: (Please read)

 1. Keep your lifetime registration No. 2. Only wear smart casual.
3. No foul language within the venue 4. Not Loitering
5. No unnecessary accumulation and loud  conversations of students outside the class rooms 6. All of are encouraged to follow.


 Registrant's Signature   
Signature over printed name


 Registrant's Signature   
Signature over printed name

 When done, please