REGISTRATION FORM
Applicant Information
First Name
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Last Name
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Middle Name
Mobile Number
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Email Address
How did you find out about PC?
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-- SELECT --
PC Dealer
Advertisement (ex. Billboard, Commercial)
PC Branch
Flyers & Posters
Website
Social Media (ex. FB, IG, Twitter)
E-Commerce
Lista Group
Coop Ibabao MPC
Coop SIDC
House No. / Street
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Region
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-- SELECT --
ARMM - Autonomous Region of Muslim Mindanao
CAR - Cordillera Administrative Region
Region I - Ilocos Region
Region II - Cagayan Valley
Region III - Central Luzon
Region IV-A - CALABARZON
Region IV-B - MIMAROPA
Region V - Bicol Region
Region VI - Western Visayas
Region VII - Central Visayas
Region VIII - Eastern Visayas
Region IX - Zamboanga Peninsula
Region X - Northern Mindanao
Region XI - Davao Region
Region XII - SOCCSKSARGEN
Region XIII - Caraga
NCR - National Capital Region
Province
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City/Municipality
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Barangay
Preferred Branch
Recruiter Information
Recruiter's ID
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Optional
)
Recruiter Full Name
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Optional
)
Recruiter Mobile No.
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Optional
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Recruiter Facebook Profile
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Optional
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Other Information
I am 15 years old and above
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Accept Terms and Conditions
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Privacy and Policy