Register Test Center

School/Monasteries/Organization Name

Full Address

Phone Number

Estimated Number of Primary Level (3rd -6th Grade) Participants

Estimated Number of Lower Secondary Level Participants

Estimated Number of Upper Secondary Level Participants

Estimated Number of Undergraduate Level Participants

Estimated Number of Educational Personnel Level Participants Category (Teachers, Lecturers, TU Staff, SMB Teachers, Extension Workers)

Estimated Number of General Public Level Participants

School/Monasteries/Organization Principal Name

Coordinator Name(PIC) School/Monasteries/Organization

Coordinator Address

Coordinator Birthplace

Coordinator Whatsapp Number (PIC)

Coordinator Email Address

Social Media Name

Where do you get the IMEC 2023 information from

Reason for participating