Rotary Club of Cavite Export Processing Zone

ENTRY FORM
(To be accomplished by Company Official)
Send completed form to RCCEPZ Secretariat

(c/o Bacao Restaurant) Telefax: 884-0997

1.      PERSONAL DATA OF MUSE
Name:_____________________________________________________________
Company:__________________________________________________________
Position/Department:______________________________________________
Work Telephone No.:______________ Home Telephone No.:_____________
Nationality:________________ Age:_____ Birthdate:_________________
Participating in Reyna ng Pistahan?  
o YES      o NO

2.      PERSONAL DATA OF CONSORTE
Name:_____________________________________________________________
Company:__________________________________________________________
Position/Department:______________________________________________
Work Telephone No.:______________ Home Telephone No.:_____________
Nationality:________________ Age:_____ Birthdate:_________________

3.      ARC DESCRIPTION
Theme of Arc: ____________________________________________________
Participating in the Best Arc Competition?  
o YES      o NO

I, _____________________________, the ______________________ of _______________________

                  Name of Company Official                                                  Position                                           Department/Division

hereby attest to the veracity of the above information.

 

 

                 ___________________________                       _________________________

                                      Signature                                                              Date