PISM - Certification Review Registration Form

Certification Review Registration Form

*Personal Details*
Last Name:
Middle Name:
Given Name:
Nickname:
Position Title
Educational Attainment:
Tel No.:
Fax No.:
Email Address:
Mobile No.:
Current Job Areas of Coverage:
Year/s in the Company:
Year/s in the Purchasing:

*Company Information*
Name:
Address:
Tel No.:
Fax No.:
Name of Company Training Director/Coordinator:
Name of Company HRD Director/Coordinator:

*To process your registration, please attach your comprehensive resume:*
File:	(files should be in pdf or doc format and should be 5mb or less)

Payment Information

Review Fee	PhP21,600.00 (Member)	PhP25,300.00 (Non-Member)
Examination Fee:	US$95 per Module (Member and Non-Member)

Send payment to:	Philippine Institute for Supply Management Unit 1706-A East Tower PSE Centre Exchange Rd., Ortigas Center, Pasig City
or deposit to:	Phil. Institute for Supply Management Account No.: 0201-0494-07 BPI Pasig Ortigas Branch

Cancellation Policy A cancellation fee of Php1,000 will be imposed for participants who will cancel their registration
within five days prior to the seminar schedule while 50% will apply to those who will cancel on the day of the seminar.

By submitting this application, I agree to abide by the seminar rules and cancellation policy.