Confirmation Form

Event Name

Title

Last Name

First Name

Nickname Please type your Nickname to be used in nametags

Gender

Your E-Mail Address

Mobile Number The mobile number should be 11 digits. Kindly use this format: 09209502202

Position Please indicate your current position title in your workplace or in your organisation. Put "Not Applicable" if you are not currently employed or if you are not holding any position in an organisation

Organisation Please indicate your current organization. Put "Not Applicable" if you are not currently employed

Confirming As Kindly indicate type of participant e.g., as Alumni, as Guest, etc

PWD Are you a Person With Disability?

PWD - Disability If Yes, please specify disability:

PWD - Concerns Do you have special requirements / needs that we can help you with?

IP Do you belong to an indigenous group or communiyt? e.g., Mangyan, Manobo, Igorot etc

IP Group If Yes, please select your IP group from the list

Geographical Location (LVM) Please indicate your geographic location (Luzon, Visayas, Mindanao)

Region Please indicate your region

City or Municipality Please indicate the city/municipality where you are located

T-SHIRT SIZE

How would you like to get your event shirt?

Complete Shipping Address (if shipping to address is chosen)

How would you like to participate in the wellness cycle?

Do you have dietary restrictions? If yes, please specify

Notes on Data Privacy:

Personal data collected will be used to get in touch with alumni on upcoming Australia Global Alumni events, projects and opportunities, as well as in conducting research about Australian alumni in the Philippines. It will be stored in a secure location in the Australia Awards and Alumni Engagement Program - Philippines (AAAEP-P) office and will only be accessed by the authorised AAAEP-P personnel. You have the right to ask for a copy of any personal information we hold about you, as well as to ask for it to be corrected if you think it is wrong. To do so, please contact secretariat@australiaawardsphilippines.org or alumni.ph@dfat.gov.au.

Declaration:

By submitting below, I give permission to:

share my contact information with the Australian Embassy in the Philippines and with the Australia Awards and Alumni Engagement Program - Philippines (AAAEP-P).
use my Personal Information (personal data and photographs taken during events) to be used for the publications and public relations activities in relation to the Australian Government’s Australia Awards program.
receive updates via email on various initiatives of the Australia Awards and Australia Global Alumni program in the Philippines, which may include newsletters, invitations to events/webinars, updates on projects and opportunities, updates about other alumni

Enable QR Code?

QR Code Override If value is present, system will create this QR code instead