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2023 Presidents' Academy

Individual Registration

Event Details

Event Name

Event Type

Host Chapter

JCI Surigao Nickel

Event Date

October 10-12, 2022

Contact Number(s)

09088850554

Contact Person

Rustico Lisondra IV

Personal Details

First Name

Middle Name

Last Name

Nickname

*Minimum length for Middle Name is 2 characters.

Gender

Choose Prefix

Choose Position

E-mail

Contact Number

*If email is already taken, please place a +1 within your email address to proceed with the registration. This only works with gmail accounts. eg. tester+1@gmail.com

Choose Area

Choose Region

Choose Chapter

Upload Personal Photo

*Please upload your personal photo. Using any other photo aside from your personal photo will result in your registration being disapproved.

Registration Details

Registration Period

Fixed Rate - 5000 per Delegate - June 01, 2022 - October 10, 2022

Payment Type

Reference / Transaction / OR no.

Amount

*Indicate the correct amount deposited. Incorrect amount declaration may result in registration disapproval.

Deposit Date

Deposit Time

*Refer to the date and time indicated on the deposit slip.

Upload Deposit Slip

*Please upload a photo of your deposit slip.