SPECS FORM: TCH-CRF-00-18

Effective: January 03, 2018

Society of Philippine Electrotechnical Constructors and Suppliers, Inc.

C O S H - REGISTRATION FORM
FULL NAME: _____________________________________________________________________
GIVEN NAME M.I SURNAME
Company: _____________________________________________________________
Email Address: _________________________________________________________
Mobile: ______________________________________________________________
Signature: ____________________________________________________________
PAYMENT: Php 8,500.00
Date of Seminar: Please check (/) your schedule.
COSH Seminar 2019
 January 22, 23, 24 & 25, 2019 – E. Virata Hall, UP Diliman, Quezon City
 February 12, 13, 14 & 15, 2019 – E. Virata Hall, UP Diliman, Quezon City
 March 12, 13, 14, & 15, 2019 – E. Virata Hall, UP Diliman, Quezon City
 April 23, 24, 25 & 26, 2019 – E. Virata Hall, UP Diliman, Quezon City
 May 21, 22, 23 & 24, 2019 – E. Virata Hall, UP Diliman, Quezon City
 June 18, 19, 20 & 21, 2019 - E. Virata Hall, UP Diliman, Quezon City
 July 23, 24, 25 & 26, 2019 – E. Virata Hall, UP Diliman, Quezon City
 August 6, 7, 8 & 9, 2019 – E. Virata Hall, UP Diliman, Quezon City
 September 17, 18, 19 & 20, 2019 – E. Virata Hall, UP Diliman, Quezon City
 October 22, 23, 24 & 25, 2019 – E. Virata Hall, UP Diliman, Quezon City
 November 19, 20, 21 & 22, 2019 – E. Virata Hall, UP Diliman, Quezon City
 December 17, 18, 19 & 20, 2019– E. Virata Hall, UP Diliman, Quezon City
VENUE: 3RD FLOOR E. VIRATA HALL, EMILIO JACINTO STREET, UP, DILIMAN, QUEZON CITY

 Requirements:
 If STE - 3 Years Experience with Valid PRC License
 If Safety Officer – High School Graduate, College Level & College Graduate
 Please bring at least 4G USB
 To register, please fill-up this registration form and forward to SPECS Secretariat thru telefax no. 722-4725&
413-0994 or you email at specsphils.68@gmail.com or for further inquiries call up 413-0994 or 722-4725; CP
No. 0928-461-7470 or 0917-931-1009
 Deposit your registration fee to any BDO Branch.
Acct Name: SPECS Acct. No.: 00-216-008-0930 Bank: BDO (EDSA - Cubao Branch)
 Payment on SITE – CASH only
NOTE: Schedule and Venue may change without prior notice. Kindly confirm Schedule and Venue at the SPECS
Secretariat before the actual date of the seminar.