New Era University – College of Law No. 9 Central Avenue, New Era, Quezon City Tel. Nos. (02) 208-5161; (02) 232-0255; (02) 274-8687 Mobile: 0925-787-6007; 0932-856-2468 Email: mcle@neu.edu.ph MANDATORY CONTINUING LEGAL EDUCATION REGISTRATION FORM Full Name (Pls. print): Name of Office/Company: Office Address: Residential Address: Telephone No.: Email Address: Roll of Attorney No.: IBP Lifetime No.: INC Member only: Locale: Mobile No.: Telefax No.: IBP Chapter: District: The NEU-Law MCLE Seminar consists of four sessions (April 1, 2, 8, & 9, 2016) from 8:00 a.m. to 6:15 p.m. at the Professional Schools Building, New Era University, No. 9 Central Ave., New Era, Quezon City. I wish to register in the NEU-Law MCLE Seminar on: [please check] [ ] April 1, 2, 8, & 9, 2016 (full compliance) [ ] April 1, 2016 (whole day) [ ] a.m. only [ ] p.m. only [ ] April 8, 2016 (whole day) [ ] a.m. only [ ] p.m. only [ ] April 2, 2016 (whole day) [ ] a.m. only [ ] p.m. only [ ] April 9, 2016 (whole day) [ ] a.m. only [ ] p.m. only *Rates: Half-day attendance Whole day attendance Senior Citizens Early payment Full compliance -P -P -P -P -P 1,500.00 2,800.00 7,000.00 8,000.00 (before the start of MCLE) 8,500.00 *Registration fee: P__________________________ The registration fee includes lunch, morning and afternoon snacks, lecture supplies and materials, notarization and processing of Attorney’s MCLE Compliance Report. Note: The New Era University is a non-VAT institution with REG TIN 000-796-122-000 *Payment Instructions: 1. Please proceed to the NEU Cashier located at the 2nd floor of the NEU Main Building (Monday – Friday, 8am-4pm; Saturday, 8am-11am) 2. You may also deposit your registration fee thru BDO at: Account Name: New Era University (MCLE) Savings Account No. 00645-0042787 Banco De Oro – Tagumpay Branch 3. Please email a copy of the bank deposit slip and the accomplished registration form to mcle@neu.edu.ph or fax them to 02-981-4233 (Attn: Ms. Arlene B. Bernardo). ______________________________ (Signature) ________________________ (Date)