REGISTRATION FORM 2010 NATIONAL MIDYEAR CONVENTIONJune 10-12, 2010 Tacloban Convention Center, Tacloban City NAME _______________________________________________PRC NO. _______________________EXPIRY DATE _________________________________DATE OF REGISTRATION ______________________________CHAPTER______________________________________________________________________MEMBERSHIP TYPE ( ) Associate ( ) Regular ( ) Life ( ) Fellow SECTOR ( ) Government ___ DILG ___ DPWH ___ DOTC Others ____________________( ) Private ( ) OCW ( ) Academe ( ) Others _________________________HOME ADDRESS _______________________________________________________________________________________________________________________TEL NO. _______________________________FAX NO _____________________________CELLPHONE NUMBER____________________________________COMPANY NAME ____________________________________________________________POSITION _______________________________________________COMPANY ADDRESS ___________________________________________________________________________________________________________________TEL NO. _______________________________________________________________FAX NO._______________________________________________________E-MAIL _________________________________________________________SIGNATURE ________________________________________________________PAYMENT VALIDATION (to be filled-up by a PICE staff)Membership Status ( ) Member ( ) Inactive / Non Member Payment Classification ( ) EARLY ( ) REGULARAmount Paid ___________ OR No. ____________ Cashier Name _____________ Claim Stub Issued ____________ Received By: ___________Plan your trip nowLearn from successful industry leaders Network with top professionals EARN CPE UNITS If undelivered, please return to:The PICE National Administrative OfficeUnit 705 Futurepoint Plaza Condominium I, 112 Panay Avenue, Quezon CityTel. Nos. 448-7488 to 90 /376-4215Fax Nos. 448-7491 /376-4255P PHILIPPINE I I NSTITUTE OF C CIVIL E ENGINEERS, INC. .June 10-12, 2010Tacloban Convention Center, Tacloban City, Leyte
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REGISTRATION FORM
2010 NATIONAL MIDYEAR CONVENTION June 10-12, 2010 Tacloban Convention Center, Tacloban City
NAME _______________________________________________ PRC NO. _______________________ EXPIRY DATE _________________________________
DATE OF REGISTRATION ______________________________ CHAPTER ______________________________________________________________________
MEMBERSHIP TYPE ( ) Associate ( ) Regular ( ) Life ( ) Fellow SECTOR ( ) Government ___ DILG ___ DPWH ___ DOTC Others ____________________
PICE LEYTE CHAPTEREngr. Otilio F. Crisostomo, Jr. Pres., PICE Leyte Chapter 461 Jansen Heights, Imelda Village,
Tacloban City
Tel./Fax No. (053) 327-1063
2010 NATIONAL OFFICERS AND DIRECTORS
FIDEL V. RAMOSHonoray President
OFFICERS:JAIME A. PACANAN, Ph.D.President
ERNESTO S. DE CASTRO, Ph.D.1st Vice President
ANGELITO M. TWAÑO2nd Vice President
RUBEN A. SYSecretary
RONALDO S. ISONTreasurer
ASER S. MALLARIBusiness Manager
DANILO C. TERANTE, Ph.D.P.R.O.
DANILO D. SUPERIANOAuditor
DIRECTORS:
MARIANO R. ALQUIZAANTONIO A. AVILAEVELYN T. BARROSO, Ph.D.MARIANO G. DANCELEUGENIO R. PIPO, JR.DAVID G. SANCHEZANESIA R. TORQUATOR
Ex-Officio Director
VENANCIO I. BESAVILLA, JR.Immediate Past President
COUNCIL OF ADVISERS (Past President
WILLY T. GOJUANITO P. ABERGAS
PRIMITIVO C. CAL, Ph.D.MOCAMAD M. RAKI-IN, SR.
PETER N. AVENTAJADO
MANUEL M. BONOANEFREN H. SISONBASHIR D. RASUMANFELIPE F. CRUZNELSON Q. IRASGADAVID M. CONSUNJIANGEL L. LAZARO, III, Ph.D.JESUS S. HIPOLITORAMON G. HECHANOVAANGEL R. LAZARO, JR.
Other Officials
ERNESTO S. DE CASTRO, Ph.D.Chancellor, College of Fellows