Pre-registration Form

Data Privacy

Data Privacy Acceptance

As part of our commitment to comply with the Data Privacy Act of 2012 (Republic Act No. 10173), we are dedicated to safeguarding the personal data we collect, process, and store. This form outlines the terms and conditions under which your personal data will be handled.


Acknowledgment and Acceptance of Terms: By affixing your name and signature on this form, you acknowledge and declare that you have fully understood the terms and conditions regarding the collection, use, processing, storage, and disclosure of your personal data by [Your Organization's Name]. You hereby express your consent to the following:

  1. Collection of Personal Data: The personal data collected from you includes [name, address, contact details and other information found on this form. This data is necessary for the training registration and others.

  2. Use and Processing: Your personal data will be used and processed for [specify purposes, e.g., employee records, service delivery, etc.]. We ensure that the use of your personal data is in line with the declared, specified, and legitimate purposes.

  3. Use of Email for Marketing: You expressly agree that Simmons Consult may use your email address for marketing purposes. This may include sending you newsletters, promotions, updates, and other marketing communications related to our services.

  4. Storage and Retention: Your personal data will be stored securely and will be retained for a period consistent with the purpose of collection or as required by law.

  5. Disclosure: Your personal data may be disclosed to third parties only when necessary and in compliance with the legal purposes for which it was collected. We will ensure that such third parties are bound by confidentiality and data privacy obligations.

  6. Rights as a Data Subject: You are entitled to various rights under the Data Privacy Act, including the right to access, modify, and object to the processing of your personal data. For concerns or inquiries regarding your personal data, please contact envisolutions@simmonsconsult.eco.

Pre-registration

Welcome to the pre-registration process for our upcoming training. To ensure a streamlined and efficient registration,
please read the following guidelines carefully:


  1. Initial Registration: Begin by completing the pre-registration form. This form gathers essential information needed to process your registration and to keep you informed about the training details.

  2. Submission of Pre-Registration Form: After filling out the pre-registration form, submit it through the designated online platform or email. This step is crucial for entering the registration process but does not guarantee your participation in the training.

  3. Training Fee Details: The training fee varies by role: Managing Heads and Pollution Control Officers. The cost includes a Certificate of Completion, digital copies of the training modules, and audio-video recordings of the sessions. Please note that registration fees are non-refundable and non-transferable.

  4. Limited Availability: Please be aware that each training session can accommodate only 100 participants, as mandated by EMB Memorandum Circular 2020-29. While you may select or prefer a training schedule, it does not ensure a spot in the training until your payment has been processed and confirmed.

  5. Payment and Confirmation of Registration: Following the submission of your pre-registration form, please proceed to make the necessary payment. Your registration is only confirmed once we receive a copy of your payment. To participate in the training, ensure that your payment is completed before the training schedule. Microsoft Teams invitations will be sent only to those who have successfully paid prior to the training.

  6. Final Confirmation: Upon successful payment, you will receive a confirmation email with details about the training schedule, Microsoft Teams invite, and other relevant information.

We look forward to your participation in our training. Should you have any questions or need further assistance during the pre-registration process, please do not hesitate to contact us at envisolutions@simmonsconsult.eco or via mobile at (+63) 967-119-3340 

Personal Information

1. Ensure that your name is accurate, as it will be displayed on the Certificate of Completion.

"Please fill out all required fields, as they cannot be left blank. Optional fields can be left blank if you don't have data to input."

First Name*
Middle Name / Initial
Last Name*
Suffix / Prefix

Mobile No.*
Email Address*
Company*

2. Please provide your postal address, as it will serve as the destination for the delivery of your Certificate of Completion and official receipt.

Unit no.
House/Building*

Street name*

Brgy/Subd.

City/Mun.*
Province*
Zip Code*
3. Sales Representative in contact.

Name*

4. Invoice Details.

Company Name*
Tax Identification Number (TIN)*

Company Address*

Training Type

Required

5. What training are you interested in?





Confirmation

Pre-registration Confirmation

Thank you for completing the online registration form for our upcoming training. We appreciate your interest and are delighted to have you join us.

Shortly, you will receive an email providing the bank details necessary for the payment of your registration fee. This email will guide you through the payment process to ensure a smooth and hassle-free completion of your registration.

Should you have any questions or require further assistance, please feel free to reach out to us at envisolutions@simmonsconsult.eco or via mobile at  0967-119-3340. Our team is ready to provide you with the support and information you need.

Thank you once again for choosing to participate in our training. We look forward to sharing a valuable and enriching experience with you.
You can print a copy of your answer after you submit.