| Trainee Name | CourseId | VerificationID | Certificate Number |
|---|---|---|---|
| 1. Are you experiencing | Yes | No | |
| Sore throat | |||
| Body Pains | |||
| Headache | |||
| Fever for the past few days | |||
| 2. Have you worked together or stayed in the same close environment of a confirmed COVID-19 case? | |||
| 3. Have you had contact with anyone with fever, cough, colds, and sore throat in the past 2 weeks? | |||
| 4. Have you travelled outside of the Philippines in the last 6 months? | |||
| 5. Have you travelled to any area in NCR aside from your home? If Yes please Specify: | |||
| 6. Have you just returned from high risk places with high number of cases? If Yes, kindly present your certificate of completed quarantine or a certificate of being tested as COVID-19 free. |
| Type of Enrollee | |||
| Full Name | |||
| SRNumber | |||
| First Name | |||
| Middle Name | |||
| Last Name | |||
| Email Address | |||
| Mobile Number |
| Rank | |
| Birth Date | |
| Address | |
| Birth Place | |
| Emergency Contact Name | |
| Emergency Contact Number |
| CANCELLATION | 20% of course fee plus Reschedule Fee - Php200.oo | |
| Cancellation of Ongoing Training | 100% enrollment fee forfeiture |
| MAKEUP CLASS | - Php. 250 | |
| RESCHEDULE | - Php. 200 | |
| CHANGE OF COURSE | - Php. 200 | |
| RE-PRINT | - Php. 500 |
| Mode Training |
| MAKEUP CLASS | - Php. 250 | |
| RESCHEDULE | - Php. 200 | |
| CHANGE OF COURSE | - Php. 200 | |
| RE-PRINT | - Php. 500 |