Participation Form

1. Full Name (Last Name, Middle Initial, First Name)

2. Title of Official Position

3. Permanent Mailing Address
(in home country or official duty station)

4. Country/Organization Represented

5. E-mail Address

6. Telephone No.      7. Fax No.

8. Will attend the meeting as Representative Deputy Representative
Alternate Adviser Others (please indicate)

9. Accompanied by the following members of my family

Name

Relationship

Age if under 18

10. FLIGHT INFORMATION:

Arrival in the Philippines:

Date    Time
(MM/DD/YYYY)                       (nn:nntt, tt-am/pm)
Plane and Flight number

Departure from the Philippines

Date      Time
(MM/DD/YYYY)                         (nn:nntt, tt-am/pm)
Plane and Flight number

11. Transport (Airport to Venue to Airport)

Secretarial arrangement Own arrangement

12. Accommodation

a. If reserving accommodation through the Secretariat:

Name of hotel:

Single Double

Check-in date (MM/DD/YYYY)  
Check-out date (MM/DD/YYYY)  

Other specifications

b. If making own accommodation arrangements:

Please specify, address in the Philippines

13. Food preference

Please indicate food restrictions, if any (e.g. Halal food and the like)

14. Hotel Accommodation (see details)

Note: It is essential that any change in plans, i.e., arrival date, accommodation required, etc., be communicated to the Secretariat, thru tm.almarines@nscb.gov.ph or ep.pineda@nscb.gov.ph . Room not occupied in accordance with the latest advice will be held 24 hours at the participant’s expenses and then released.

Please return this Participation/Hotel Reservation Form by fax or e-mail to:

Ms. Teresita M. Almarines / Ms. Emalyn P. Pineda
National Statistical Coordination Board
403 Sen Gil Puyat Ave Ext
Makati City 1200, Philippines

Tel : (632) 896 7981 / (632) 895 2436 / (632) 8909404
Fax : (632) 896 7981 / (632) 895 2436
E-mail : tm.almarines@nscb.gov.ph / ep.pineda@nscb.gov.ph