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42 nd

REGISTRATION FORM
NATIONAL CONVENTION
PHILIPPINE
November 17-19, 2016
INSTITUTE OF
CIVIL
SMX Convention Center, SM Lanang Premier, Davao City

ENGINEERS, INC.
NAME ______________________________________________________________________________

CHAPTER __________________________________________________________________________

Call for Delegates


GENDER ______________________________ PRC NO ___________________________________

DATE OF PRC REGISTRATION ____________________________________________________

PRC EXPIRY DATE _________________________________________________________________

SECTOR:

GOVERNMENT (AGENCY/DEPARTMENT/OFFICE) ______________________________

______________________________________________________________________________________

PRIVATE (NAME OF COMPANY) _________________________________________________

_____________________________________________________________________________________

OTHERS (PLEASE SPECIFY) _______________________________________________________

_____________________________________________________________________________________

COMPANY ADDRESS _____________________________________________________________

______________________________________________________________________________________

CURRENT DESIGNATION _________________________________________________________

TEL NO. _________________________________ FAX NO. ________________________________

PERMANENT ADDRESS ___________________________________________________________

______________________________________________________________________________________

EMAIL ADDRESS __________________________________________________________________

CELL NO ___________________________________________________________________________

TEL NO. _____________________________ FAX NO. ____________________________________

SIGNATURE OF DELEGATE _______________________________________________________

PAYMENT VALIDATION (TO BE FILLED UP BY PICE STAFF)

MEMBERSHIP STATUS MEMBER LIFE INACTIVE/NON MEMB


Theme: Civil Engineering Innovations
PAYMENT CLASSIFICATION EARLY REGULAR

AMOUNT PAID ______________ OR NO. ________________ CLAIM STUB _______________


Toward a Better Philippines
CASHIER NAME ___________________________ RECEIVED BY _________________________ Host: PICE Davao City Chapter
Supported by: PICE National Board of Directors
HIGHLIGHTS OF THE CONVENTION
2016 NATIONAL
42nd NATIONAL CONVENTION Council of Advisers (Past Presidents)
Leading PICE members in 97 chapters from Cagayan to Sulu belonging to leading DAVID G. SANCHEZ

BOARD OF DIRECTORS
November 16, 2016 (Wednesday)
government departments, agencies and offices, construction companies; consulting firms; ROMEO S. MOMO
Sports Tournaments
colleges and universities are expected to participate in this ANNUAL EVENT of Civil BENITO M. PACHECO, Ph.D.
Golf
Engineers. ERNESTO S. DE CASTRO, Ph.D. JAIME A. PACANAN, Ph.D.
Bowling
Watch out for further announcements on concurrent activities which will make Badminton President VENANCIO I. BESAVILLA, JR.
Billiards WILLY T. GO
your stay in Davao City truly unforgettable. FORM YOUR DELEGATION NOW!!!!! ADOR G. CANLAS JUANITO P. ABERGAS
ATTENDANCE OF GOVERNMENT CIVIL ENGINEERS November 17, 2016 (Thursday) 1st Vice-President PRIMITIVO C. CAL, Ph.D.
PICE will seek the endorsement of various Government Departments, Agencies and Opening of PICE Construction Technologies, Services and Building Material Exhibit MOCAMAD M. RAKI-IN. SR.
CLEMENTE A. IBO
Offices to allow their Civil Engineers to attend the National Convention on official Featuring the Best Celebrated Civil Engineering Week and PICE National Awards PETER N. AVENTAJADO
2nd Vice-President
time/business. Opening Ceremony and Luncheon MANUEL M. BONOAN
CIVIL ENGINEERING MONTH Plenary Session NERIE D. BUENO EFREN H. SISON
- The Presidents Year End Report BASHIR D. RASUMAN
The Civil Engineering Month is celebrated during the month of November. All Secretary
- Conferment of Certificates of Specialization in the 6 Specialty Divisions NELSON Q. IRASGA
Chapters are encouraged to plan out activities in their respective localities to
Special Lectures ALBERT A. PERFECTO DAVID M. CONSUNJI
celebrate the occasion, focusing attention on the IMPORTANCE OF THE CIVIL
Grand Finals of the 35 National Civil Engineering Students Quiz Treasurer
th
ENGINEERING PROFESSION IN NATION BUILDING. ANGEL L. LAZARO, III, Ph.D.
Electoral College Assembly
SPORTS TOURNAMENT (November 16, 2016) Fellowship Night ERDSAN RENE S. SUERO Other Officials
The Convention kicks off with the Golf, Bowling, Billiards and Badminton Auditor ROMEO S. CAPARROS
Tournaments for PICE members. Chapters are encouraged to form their teams November 18, 2016 (Friday) Chancellor, College of Fellows
and participate in the sports activities on November 16, 2016. Breakfast Meeting of the National Board of Directors and Past Presidents with RESTITUTO C. BAUTISTA
the Regional Coordinators, Chapter Presidents, College of Fellows and Presidents FRANCIS ALDRINE A. UY, Ph.D.
Business Manager
ELECTORAL COLLEGE MEETING (November 17, 2016) of Affiliate Societies Director
The Electoral College will meet on November 17, 2016. It is tasked to elect the Technical Tracks A and B CESAR C. PABALAN PICE Research & Development Office
National Directors of PICE for 2017 and to ratify proposed amendments to the By- College of Fellows Meeting P.R.O. LEO CLETO A. GAMOLO
Laws. A process for the listing and accreditation of Electoral College delegates will 24 Bridge Building Competition
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Legal Counsel
be announced in a separate circular. All life members are reminded of their duties 9 Rube Goldberg Design Competition
th Directors:
as automatic members of Electoral College. Election of 2017 National Board of Directors MARIANO R. ALQUIZA IGNACIO B. ZARAGOZA, JR.
Counting of Election Results ROSEIN A. ANCHETA, JR., Ph.D. OIC National Administrative Officer
ELECTION OF 2017 NATIONAL BOARD OF DIRECTORS (November 18, 2016) LEA N. DELFINADO
Election of 2017 National Officers and Directors
On November 18, 2016, the Electoral College will elect National Directors from PETER PAUL P. DY, JR.
candidates representing the Private and Government sectors. The 15 new board November 19, 2016 (Saturday) ROBERT S. LICUP, Ph.D.
members shall then elect the officers who will manage PICE in 2017. All qualified 19 National Civil Engineering Students Conference
th
RODNEY P. MENCHAVEZ
voters may request for a copy of the circular and guidelines for the elections . Technical Track C GUILLERMO C. SUEGA, JR.
Closing Ceremony
STUDENT ACTIVITIES & COMPETITIONS (November 17-19, 2016)
Community Extension EUGENIO R. PIPO, JR.
The PICE National Student Chapter Affairs Committee is requesting all student
Immediate Past President
chapters to link up with their respective mother chapters and join the various
activities and competitions for the student members this year:
35 National Civil Engineering Students Quiz (35 NCESQ)
th th

19 National Civil Engineering Students Conference CONVENTION FEE


th

2016 Search for the Most Outstanding Civil Engineering Students Includes EARLY BIRD BY ADVANCE BY ON SITE AFTER
(2016 MOCES) Convention Kit SEPT. 30, 2016 OCT. 31, 2016 OCT. 31, 2016
INQUIRIES AND REGISTRATION
24 Bridge Building Competition
Proceedings & P 3,000.00 P 3,500.00 P 4,000.00
th
All interested parties are requested to register early and take advantage of the early
9 Rube Goldberg Design Competition
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bird discount. For more details, visit, call, email or text: Lunch/Snacks
THE PICE NATIONAL HEADQUARTERS OFFICE:
PICE Building, 4 Albany Street, Cubao, Quezon City CANCELLATION - Any Delegate who has paid the necessary Convention Fee
Tel. Nos. +632 7093937 to 38 Tel/Fax No. +632 7093415
but will be unable to attend may submit the name of a substitute or
BANK TO BANK PAYMENT CAN BE MADE THROUGH: Cell Nos. +63 9173152765 / +63 9283410623 / +63 9223022296
replacement IN WRITING, AT LEAST 15 DAYS BEFORE THE START OF THE
BANK ACCOUNT ACCOUNT NAME Email add: picenatl@pice.org.ph / pice.headquarter@gmail.com
Website: www.pice.org.ph
CONVENTION. The fee maybe refunded in full if cancellation is done 30 days
NUMBER
or before the convention. Thereafter a 10% service charge will be collected. No
BPI CUBAO AURORA BRANCH 0121-0498-05 Philippine Institute of
PICE DAVAO CITY CHAPTER request for refund will be entertained after the National Convention.
Civil Engineers
LANDBANK EDSA NIA ROAD 1871-0459-21 Philippine Institute of ENGR. ANACLETO V. CALAMBA, JR.
Civil Engineers Chapter President

Now is your chance to network with other


BANCO DE ORO AURORA 0010-1945-33 Philippine Institute of PICE Building corner Arellano Extension
BLVD. YALE BRANCH Civil Engineers Panganiban Street, Davao City

PICE Members.
Tel/Fax No. 082 3005604
Cell No. +63 9333576046 Miss Loizel - Chapter Secretariat

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