ENGINEER IT GREEN. ENGINEER IT RIGHT. Building Structures That Survive: Resilient Design, Sustainable Materials & Critical Site Skills for Today’s Civil Engineer

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PARTICIPANT INFORMATION & DATA PRIVACY CONSENT

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Data Privacy Notice:

Why do we collect and use your data?

Privacy notice in compliance with RA 10173 Data Privacy Act of 2012:

By voluntarily accomplishing this form, the participant consents to the use and processing of the information collected via this Google Form. This information will be used primarily for communication purposes between you and Global Institute for Professional Development and Excellence (GIPDEX) and will not be shared with outside parties, except where applicable, for the fulfillment of requirements with government offices.

Access our Data Privacy Notice: GIPDEX Data Privacy

I confirm that I am 18 years of age or older, and that all information provided are true and correct. *

I acknowledge and voluntarily give my consent to the collection, use, and processing of my personal information for legitimate purposes related to this program/event, including compliance, documentation, reporting, communication, and service delivery, in accordance with applicable laws, securely stored and retained only for as long as necessary. *

I confirm that I have read and understood the Data Privacy Statement of GIPDEX INC. I hereby consent to the collection, use, and processing of my personal data for purposes such as registration, communication, documentation, and service delivery, in adherence to applicable privacy laws and institutional data protection policies *

I give my consent to the Global Institute for Professional Development and Excellence (GIPDEX), Inc., including its affiliates and partners, to capture, use, and publish audio recordings, photographs, and/or video footage taken of me during the event. These may be used—without financial compensation—for documentation, educational, promotional, or archival purposes in various formats, including but not limited to websites, printed materials, and social media platforms. *

Email*

PRC REGISTERED FIRST NAME*

PRC REGISTERED MIDDLE NAME (put N/A if not applicable)*

PRC REGISTERED LAST NAME*

PRC License Number (Type N/A if not a licensed professional)*

License Expiry Date (Type the date January 31, 2020 - if not a licensed professional)*

Profession*

ArchitectureCivil EngineerOthers

For Others, please specify. (Put N/A if not applicable)*

Phone Number (ex. 917 000 1234)*

Company/Institution*

Position/ Designation

By submitting this form, you confirm that the name used in this form is the same as it appears on your PRC ID. The organizing committee will not be held responsible for errors occurring due to incorrect entries.*

Complete all required fields to continue

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