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    Society of Philippine Electrotechnical Constructors & Suppliers, Inc

    Uploaded by

    Mark Roger Huberit II
    This document contains a registration form for an AMO seminar taking place on March 21-22, 2019. It collects personal and employment details from the registrant, Huberit Mark Roger Rodripas II, including his educational background, work experience in civil engineering and construction projects, and contact information. The form requires signatures from the registrant and SPECS secretariat to confirm registration and table/seat assignment for the seminar.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Society of Philippine Electrotechnical Constructors & Suppliers, Inc

    Uploaded by

    Mark Roger Huberit II
    36 views1 page
    This document contains a registration form for an AMO seminar taking place on March 21-22, 2019. It collects personal and employment details from the registrant, Huberit Mark Roger Rodripas II, including his educational background, work experience in civil engineering and construction projects, and contact information. The form requires signatures from the registrant and SPECS secretariat to confirm registration and table/seat assignment for the seminar.

    Original Description:

    AMO.REGISTRATION FORM.3.21.19

    Original Title

    AMO.REGISTRATION FORM.3.21.19

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    This document contains a registration form for an AMO seminar taking place on March 21-22, 2019. It collects personal and employment details from the registrant, Huberit Mark Roger Rodripas II, including his educational background, work experience in civil engineering and construction projects, and contact information. The form requires signatures from the registrant and SPECS secretariat to confirm registration and table/seat assignment for the seminar.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    36 views1 page

    Society of Philippine Electrotechnical Constructors & Suppliers, Inc

    Uploaded by

    Mark Roger Huberit II
    This document contains a registration form for an AMO seminar taking place on March 21-22, 2019. It collects personal and employment details from the registrant, Huberit Mark Roger Rodripas II, including his educational background, work experience in civil engineering and construction projects, and contact information. The form requires signatures from the registrant and SPECS secretariat to confirm registration and table/seat assignment for the seminar.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    SPECS FORM: TCH-ARF-03-00

    Effective: January 03, 2018


    Page/s: 1 of 1

    Society of Philippine Electrotechnical Constructors & Suppliers, Inc.


    fs  2/F IIEE Bldg., No. 41 Monte de Piedad St., Cubao, Quezon City, Philippines 1111
    : 63(02) 722-4725; ; 413-0994  : specsphils.68@gmail.com : www.specs.org.ph

    Paste
    AMO - REGISTRATION FORM
    Recent
    DATE of Seminar: March 21 & 22, 2019 @ 8:00 am - 5:00 pm
    Table Assignment: __________ Seat No.: ___________ 2” X 2”
    (Table Assignment & Seat No to be filled – up by SPECS Secretariat)
    Full Name: ___HUBERIT_____MARK ROGER ___RODRIPAS______II_________________________
    Picture
    Last Name First Name Middle Name Suffix
    Company: MARK ROGER HUBERIT ENGINEERING AND CONSTRUCTION
    Address: 4-12 Nicholas Street Sta. Maria Village Balibago,
    Tel. Nos.: __________________________________ Fax No.: ___________________________________
    Cell Phone: 09455079138/09292592060 Email Address: cehuberit_28@hotmail.com
    PERSONAL DATA:
    Age : 33_________________________ Date of Birth : FEBRUARY 28, 1986
    Place of Birth : Can – Avid Eastern Samar Nationality : FILIPINO
    Civil Status : SINGLE Name of Wife : _______________________________
    Height : 5’ 4” Weight : 65KGS___________________________
    SSS No. : 3424952126_______________ TIN No. : 296-131-421________________
    EDUCATIONAL BACKGROUND:
    INCLUSIVE DATE NAME OF SCHOOL ADDRESS
    Elementary : 1999 CAN AVID CENTRAL ELEMENTARY SCHOOL CAN AVID EASTERN SAMAR
    Secondary : 2003 LABORATORY HIGH SCHOOL - CAN AVID NATIONAL AGRICULTURAL COLLEGE
    Tertiary : 2009 SAMAR STATE UNIVERSITY – CATBALOGAN SAMAR
    Course : BACHELOR OF SCIENCE IN CIVIL ENGINEERING
    WORK EXPERIENCE: (Start from the most current company you have worked with backward)
    COMPANY ADDRESS Date Started Date End Position
    BALIBAGO WATERWORKS SYSTEM INC. BALIBAGO, ANGELES NOVEMBER JANUARY Company Engineer
    CITY PAMPANGA 2017 2019
    BAUER INT’L (PHILS) INCORPORATION 2NDFLR. THE REGALIA FEBRUARY 2014 – March Project In Charge
    TOWER, 150 P. TUAZON ST. 2017
    COR. EDSA CUBAO,QC.

    OCEANAGOLD (PHILS) CORPORATION AUGUST 2011 – PROJECT


    2NDFLR. CJV BUILDING, 108 DECEMBER 2013 ENGINEER –
    AGUIRRE ST. LEGASPI PLANNING AND
    VILLAGE MAKATI CIVILS

    BAYANI FERNANDO CORPORATION Km. 17 Ortigas Avenue OCTUBER 2011 – AUGUST PROJECT SITE
    (AAA-CONTRACTOR) Extension,Cainta, Rizal 1900 2012 ENGINEER

    DDC LAND INC. FEBRUARY 2011 – OCTUBER FEBRUARY 2011 – OIC -


    2011 OCTUBER 2011 CONSTRUCTION
    DIVISION

    PASTE PASTE

    VALID VALID

    GOVERNMENT I. D. CARD - 1 GOVERNMENT I. D. CARD - 2

    AMO Signature 1: AMO Signature 1:

    AMO Signature 2:
    (PHOTOCOPY) AMO Signature 2:
    (PHOTOCOPY)
    AMO Signature 3: AMO Signature 3:

    NOTE: DO NOT LEAVE ANY BLANK SPACE

    [Type text] Note: This portion is to be signed during the 1st day of Seminar (not later than 9:00 a. m.)

    ______________________________________
    Signature Over Printed Name

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