REGISTRATION FORM

September 26 & 27, 2019

World Trade Center, Roxas Boulevard,
Manila, Philippines
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Please fill up the registration form and return to the Secretariat on or before September 15, 2019.
I. Delegate/s

1. Complete Name: _____________________________________________________________________

(First name) (Middle Initial) (Last Name)
Position: ______________________________ Department:___________________________________________
Email: __________________________________________Telephone / Cellphone No: ____________________________

2. Complete Name: _____________________________________________________________________

(First name) (Middle Initial) (Last Name)
Position: ______________________________ Department:___________________________________________
Email: __________________________________________Telephone / Cellphone No: ____________________________

3. Complete Name: _____________________________________________________________________

(First name) (Middle Initial) (Last Name)
Position: ______________________________ Department:___________________________________________
Email: __________________________________________Telephone / Cellphone No: ____________________________

Authorized Signatory

Name: _________________________________________________________
Designation: _____________________________________________________
Contact Number / Email:____________________________________________

II. Payment of Registration:

Please check the appropriate box below: Categories Participant/s
Local Participants ( Philippines) Php 5,000/pax 
Foreign Participants 200 USD/pax 

Full Payment should be made by bank transfer to MRSP Secretariat: (bank details below):

The registration fee should be paid to:

Bank Details:
Bank Name; Chinabank ADB Branch
Account name: Mechatronics and Robotics Society of the Philippines, Inc. Account number: 2120656918
Swipe Code - CHBKPHMM
Bank Phone: Chinabank Telephone number (+63) 6872226/6872457 Bank Address: Lower Ground Floor City Land Mega
Plaza , ADB Avenue corner Garnet Road, Ortigas Center,Pasig City, Phils.

Ms. Jo Anne Fe G. Itaas

2nd Floor Titanium Building MIRDC Compound Gen. Santos Ave.,Bicutan, Taguig City, Manila, Philippines,
Email: secretariat@mrsp-ph.org Website: www.mrsp-ph.org
Tel No. 837-0431 to 38 local 474
Mobile No/s 0908-597-8945 / 0915-733-3697