Nonformal Course Registration Part 1 of 3

Nonformal Course Registration Part 1 of 3 - Enter Personal Data

Fill in all the information requested. All fields marked * are required. If you would like to keep a copy, print out this page before you click "Submit".

Name*

Course 1* If you are enrolling in two courses offered simultaneously (e.g., NEP and PED), fill in both Course 1 and Course 2. If the courses are offered weeks/months apart, use one form per course, and leave Course 2 set to "None".

Course 2*

Gender* Female Male

Date of birth* Please indicate month, day and year in this format: mm/dd/yyyy.

Birthplace*

Citizenship*

Civil status* Single Married Separated Widow/er

Employment* If you are not currently employed, type "NONE".

Position* If you are not currently employed, type "NONE".

Office address*

Home address*

Materials delivery*
Direct mail - local

Direct mail - foreign

Additional fees will be charged for mailing outside the Philippines. Our staff will contact you once mailing costs have been determined. Alternatively, you may indicate a Philippine home address, then have friends/family mail the materials to you at their expense.

Preferred mailing address*

Office Home

Telephone (office)*

Telephone (home)*

Telephone (mobile)*

Email 1*

Email 2

Highest degree*

Institution*

Special needs

If you have no special needs (e.g., resources for the blind/deaf; consideration for not being able to attend face-to-face activities, etc.), type "NONE".

Re-examine the form to make sure all entries are correct. You may wish to print out the form before clicking "Submit."

You will then proceed to:
Part 2 - Downloading and printing out enrollment form
Part 3 - Payment details

Nonformal Course Registration Part 1 of 3 - Enter Personal Data
Fill in all the information requested. All fields marked * are required. If you would like to keep a copy, print out this page before you click "Submit".

Name*
Course 1*		If you are enrolling in two courses offered simultaneously (e.g., NEP and PED), fill in both Course 1 and Course 2. If the courses are offered weeks/months apart, use one form per course, and leave Course 2 set to "None".
Course 2*
Gender*	Female Male
Date of birth*	Please indicate month, day and year in this format: mm/dd/yyyy.
Birthplace*
Citizenship*
Civil status*	Single Married Separated Widow/er
Employment*	If you are not currently employed, type "NONE".
Position*	If you are not currently employed, type "NONE".
Office address*
Home address*
Materials delivery*	Direct mail - local Direct mail - foreign Additional fees will be charged for mailing outside the Philippines. Our staff will contact you once mailing costs have been determined. Alternatively, you may indicate a Philippine home address, then have friends/family mail the materials to you at their expense.
Preferred mailing address*	Office Home
Telephone (office)*
Telephone (home)*
Telephone (mobile)*
Email 1*
Email 2
Highest degree*
Institution*
Special needs	If you have no special needs (e.g., resources for the blind/deaf; consideration for not being able to attend face-to-face activities, etc.), type "NONE".
Re-examine the form to make sure all entries are correct. You may wish to print out the form before clicking "Submit." You will then proceed to: Part 2 - Downloading and printing out enrollment form Part 3 - Payment details