RMC 2026 | Group Registration

GROUP REGISTRATION INSTRUCTIONS

GROUP PACKAGE: Group registration is for five (5) participants.
INCLUSIONS: This package covers Day 1 and Day 2 Lectures only.
GROUP RATE: Fixed total amount of PHP 32,000.00 per group of 5.
OPTIONAL CLUSTER: Hands-on workshop may be added per delegate, subject to category eligibility.
PAYMENT: Upload or email the proof of payment to rmc.postgraduate@gmail.com.

Bank: Security Bank
Account Name: Department of OB-GYN Rizal Medical Center Association, Inc.
Account No: 0000063154890

GROUP / INSTITUTION DETAILS

GROUP / INSTITUTION NAME*

This will auto-copy to all 5 registrants.

REGION OF PRACTICE

This will auto-copy to all 5 registrants.

GROUP MEMBERS (5 DELEGATES)

Delegate 1

LAST NAME*

FIRST NAME*

MIDDLE NAME

EMAIL ADDRESS*

MOBILE NUMBER

PRC NUMBER*

PRC EXPIRY DATE*

CERTIFICATE NAME*

CATEGORY*

AFFILIATED INSTITUTION / HOSPITAL / CLINIC

REGION OF PRACTICE

ANY DIETARY RESTRICTIONS?

HANDS-ON WORKSHOP

CLUSTER ELIGIBILITY

Delegate 2

LAST NAME*

FIRST NAME*

MIDDLE NAME

EMAIL ADDRESS*

MOBILE NUMBER

PRC NUMBER*

PRC EXPIRY DATE*

CERTIFICATE NAME*

CATEGORY*

AFFILIATED INSTITUTION / HOSPITAL / CLINIC

REGION OF PRACTICE

ANY DIETARY RESTRICTIONS?

HANDS-ON WORKSHOP

CLUSTER ELIGIBILITY

Delegate 3

LAST NAME*

FIRST NAME*

MIDDLE NAME

EMAIL ADDRESS*

MOBILE NUMBER

PRC NUMBER*

PRC EXPIRY DATE*

CERTIFICATE NAME*

CATEGORY*

AFFILIATED INSTITUTION / HOSPITAL / CLINIC

REGION OF PRACTICE

ANY DIETARY RESTRICTIONS?

HANDS-ON WORKSHOP

CLUSTER ELIGIBILITY

Delegate 4

LAST NAME*

FIRST NAME*

MIDDLE NAME

EMAIL ADDRESS*

MOBILE NUMBER

PRC NUMBER*

PRC EXPIRY DATE*

CERTIFICATE NAME*

CATEGORY*

AFFILIATED INSTITUTION / HOSPITAL / CLINIC

REGION OF PRACTICE

ANY DIETARY RESTRICTIONS?

HANDS-ON WORKSHOP

CLUSTER ELIGIBILITY

Delegate 5

LAST NAME*

FIRST NAME*

MIDDLE NAME

EMAIL ADDRESS*

MOBILE NUMBER

PRC NUMBER*

PRC EXPIRY DATE*

CERTIFICATE NAME*

CATEGORY*

AFFILIATED INSTITUTION / HOSPITAL / CLINIC

REGION OF PRACTICE

ANY DIETARY RESTRICTIONS?

HANDS-ON WORKSHOP

CLUSTER ELIGIBILITY

GROUP CONTACT PERSON

CONTACT PERSON*

CONTACT PERSON NAME

CONTACT EMAIL

CONTACT MOBILE

PACKAGE SUMMARY

LECTURE PACKAGE

GROUP SIZE

BASE GROUP AMOUNT

Selected Cluster Add-ons

Cluster Add-on Total

₱ 0.00

TOTAL GROUP AMOUNT

₱ 32,000.00

PROOF OF PAYMENT

Kindly upload your proof of payment.
If there are problems uploading, you may email instead to rmc.postgraduate@gmail.com.

*Required Field

By registering, I confirm that I am authorized to submit this group registration and that all information provided is accurate.