Wellness Registration Form

CESB registration form for wellness

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: 2018 CES Executive Leadership, Wellness and Work-Life Balance Camp
REGISTRATION FORM
Please write legibly.

Schedules

□ April 24-27, 2018, Green Canyon Eco Art Resort, Tarlac
□ May 2-5, 2018, Coco Grove Beach Resort, Siquijor Island

Name
Nickname
Birthday/Age
Agency/Office
Position
Tel. / Fax No.
Mobile No.
E-mail Address
Men’s T-shirt Size
Date Accomplished

THINK. BREATHE. MOVE. REPEAT.

REGISTER NOW!
Send accomplished registration form to the Professional Development Division (PDD)
through fax number: (02) 952-0335 or email to [email protected] For inquiries and
confirmation of faxed registration form, call telephone nos.: (02) 951-4981 - 84 locals 108,
113 or 127.
Registration fee of Fourteen Thousand Pesos (Php14,000.00) must be paid on or before 13
April 2018 (Friday) to secure your slot in the camp. Payments may be in cash or in check
payable to the Career Executive Service Board (CESB) and shall be deposited in CESB’s
Land Bank of the Philippines (LBP) Account Number: 0622-1022-34 in Commonwealth
Avenue, Quezon City Branch.
For inter-branch payment, email or fax a bank validated copy of the deposit slip or
LDDAP-ADA form. Indicate the name of the participant, agency, title and date of training
program, and LBP branch where the payment has been made. Cancellation of
participation or non-appearance in the event will result in the forfeiture of the registration
fee. Substitution for paid slots may be requested.
Thank you very much!