Unit 301 Greenbelt Mansion, 106 Perea St/. Legazpi Village, Makati City Tel. No. (632) 840-0630: Telefax No. 892-2956 Website: www.iarfc.org/www.iarfcphils.org

RFC CONVERSION COURSE ENROLLMENT FORM NAME

NICKNAME

BIRTHDATE

NOTE: Kindly write your NAME clearly P H O N E #s

COMPANY NAME BUSINESS ADDRESS YEARS OF EXPERIENCE IN THE INDUSTRY

FIXED MOBILE FAX

EMAIL ADDRESS

EDUCATIONAL BACKGROUND S C H O O L

HIGH SCHOOL

EARNED DESIGNATIONS CFA CFP ChFC

COLLEGE

CLU CPA LLB

LUTCF MBA MSF

MSFS Ph. D. OTHERS

FINANCIAL PLANNING COURSES YOU HAVE ATTENDED

POST GRADUATE

In-house Financial Planning

Other Financial Course

COURSE FEES

TO REGISTER Please fax or send your application form/s with payment to:

IARFC PHILIPPINES, INC. Unit 301, 3/F Greenbelt Mansion 106 Perea St., Legaspi Village, Makati City Tel. No. Tel No. 892-2956 0917-6457846 Email: [email protected]

Regular Course Fee (VAT Inclusive) - Php 40,320.00 Early Bird Rate (1 month before the Course) – Php 36,064.00 RFC Course with REP(Registered Esatate Planning)Php - 37,064.00 (Inclusive of Course manual, & financial plan software)

Bank Acct Name : IARFC PHILS INC. Bank Acct Numbers : BPI CA # 3391-0078-44 Metrobank CA #: 7-63850117-8 Metrobank $ SA #: 6382-63800119-0

PAYMENT OPTIONS

PLEASE READ RFC Courses may be cancelled or postponed by the Organizer if there are NO sufficient Attendees. Payments are NONREFUNDABLE but is TRANSFERRABLE or can be applied for future courses by the participant or by a substitute delegate. Disclaimer: The program may change due to unforeseen circumstances and IARFC Phils reserve the right to alter the venue, date of the course and the speakers. IARFC Phils accepts NO responsibility for any loss or damage to property belonging to, or for any personal injury by attendees during the Course within or enroute to the course venue.

CASH

CHECK (Payable to IARFC Phils Inc.) Company Advance/Sponsored

Name of Company: _________________________________________________________ Contact Person

: _________________________________________________________

Contact Number : _________________________________________________________

Print Name & Signature:

Know more about IARFC, visit our website at www.iarfc.org/www.iarfcphils.org