Online Registration Form
I have read and understood the Registration Procedures of the IMPETUS 2019 PPTA National Convention.
*BEFORE YOU PROCEED, CONFIRM THAT YOU HAVE READ AND UNDERSTOOD THE REGISTRATION PROCEDURES
*Required fields
Upload the following documents
Registration Category*
For 1-day registrants, indicate on which day you will attend:
Proof of PPTA Membership*
(Upload image file: .JPG, .PNG, etc.)
Max File Size 15MB
For non-PPTA, upload an official ID.
For students, upload your school ID.
Registration Type*
Deposit or Transaction receipt*
(Upload image file: .JPG, .PNG, etc.)
Max File Size 15MB
Date of Payment*
Personal information
PRC License number*
For those who are not PRC-registered or are undergraduate students, enter N/A.
NOTE: The name that you will provide here shall appear exactly on your Certificate of Attendance.
Last Name*
Given Name(s)*
Middle Initial
Sex*
Email address*
Contact number*
Name of institution of current affiliation*
Official receipt information
Do you want to receive an official receipt of payment for this convention?*
Name to appear on receipt
Amount paid
Wait around 5 seconds until you are redirected to an acknowledgement page.
Speed of submission depends on the speed of your internet connection and size of the files that you are uploading.
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