REGISTRATION FORM

WOMEN DOING THEOLOGY WORKSKHOP

August 26 to September 4,2000

Manila, Philippines

Name : Nickname :

First Name Last Name

Country/National Movement:

Contact Address :

Telephone : Fax No.

E-mail address:

Birthday: Age:

Are you a student ? YES NO

If student, course yearlevel

Name of School

Would you require a translator ? YES NO

Do you have any illness that you wish us tobe informed ? YES NO

Please specify

Do you have any special dietary requirement? YES NO

Please specify

Signature of Participant Date

Endorsed By Date

Necta C.Montes

WSCF AP Regional Women’s Program Coordinator

21 ScoutReyes St., Roxas District, Quezon City PHILIPPINES

Tel/fax : (632) 41202916 E-mail: necta@pworld.net.ph

Do not send this to WSCF-AP in Hong Kong, send it to the SCMA NationalOffice.

Direct any and all enquiries to the National Office

Do not fill in the"Nominated by"field.

Please also fill in the SCMA ApplicationForm