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The Official Orientation Program of JCI Cebu, Inc.
Date | Time: Novermber 18, 2022, 6:00-9:00PM Venue: 7th Floor, Poolside, Henson Hall, Quest Hotel and Conference Center - Cebu
SURNAME (Family Name)*
FIRST NAME (Kindly include suffix, if applicable)*
MIDDLE NAME
BIRTH DATE*
MARITAL STATUS* ---SingleMarriedWidowedSeparatedDivorced
RESIDENTIAL ADDRESS (for mailing)*
E-MAIL ADDRESS*
PRIMARY MOBILE NO.*
SECONDARY MOBILE NO.
Who invited you to JCI Cebu?* (If it is a JCI Cebu member, kindly identify.)
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I am affiliated with the ff. industry/ies:* ---IT IndustryBPO IndustryAgriculture; plantations; other rural sectorsBasic metal productionChemical industriesCommerceConstructionEducationFinancial servicesFood; drink; tobaccoForestry; wood; pulp and paperHealth servicesHotels; tourism; cateringMiningMechanical and electrical engineeringMedia; culture; graphicalOil and gas production; oil refiningPostal and telecommunications servicesShipping; ports; fisheries; inland waterwaysTextiles; clothing; leather; footwearTransport (including civil aviation; railways; road transport)Utilities (water; gas; electricity)Government officeOthers
I am...* ---Self-employedLocally EmployedFreelance Professional
Company or Business Name*
Position in the Company or Business*
Why do you want to be part of JCI Cebu?*
Your Personal Interest/s* ---GolfTravelingBloggingSportsGamingArtChild or Pet CareMusicCookingCollectingReadingRecreational BikingDivingSingingDancingfor Multiple Interest
We value and protect your personal information in compliance with the Data Privacy Act (R.A. 10173). The information you share here will be stored in a database accessible to JCI Cebu and its Board of Directors only. These will be used to serve as references for preparing certificates, for future planning, and for communication, among others. The contact details (mobile nos., e-mail addresses, and residential address) you will provide shall be used for our official communications with you. I agree with the PRIVACY NOTICE
