Avie Training and Consultancy Services

Unit No. 14 Pilar Shopping Arcade Panilao Pilat Batan

+63921 929 0719 047 240 47 27
Business TIN # 480-326-529-000
Course Registration Form

Name Registration #

Courses Applied
1.

2.

3.

4.

5.

Email Address

Home
Postal Code
Address

Mobile
Home Phone
Phone

Date Of Birth Day / / Month / Year Male/Female

Company Employment Position Work Duration Reference

Previous Training attended HSE Qualification, Award and Recognition

I certify that the information herein is true and correct to the best of my knowledge and I understand that this
application is subject to approval by Avie Training and Consultancy Services.

Signature________________________________________ Date_________________________

Reviewed By ATCS Business Representative

Signature________________________________________ Date_________________________

Note: All costs above are inclusive of VAT, materials, snacks, lunch and attendance certificate. Please make
check payable to ATCS We reserve the right to cancel or re-schedule any scheduled training/activities without
prior notice due to unforeseen circumstances.

**Advance payment is non-refundable and non-transferable. Re-scheduling and cancellation a week before the
scheduled date is subject to 50% re-scheduling fee.