<p> Republic of the Philippines National Economic and Development Authority Philippine National Volunteer Service Coordinating Agency G/F Philippine Sugar Center, North Avenue, Diliman, 1100 Quezon City, Philippines Tel. Nos. +63(02)927-6847, +63(02)454-8997●TeleFax No. +63(02)277-7389 Email: [email protected] ● Website: http://www.pnvsca.gov.ph</p><p>2017 Volunteerism Poster Making Contest </p><p>OFFICIAL ENTRY FORM Entry No. ______</p><p>I. Contestant’s Information</p><p>Name: ______(First) (Last) (M.I)</p><p>Sex: _____ Date of Birth: ______Occupation: ______</p><p>Contact Numbers: Landline: ______Mobile: ______</p><p>Email Address: ______</p><p>Mailing Address: ______</p><p>Organizational Affiliation (Employer, School) Name of organization/employer/school : ______Address : ______Tel. No. : ______Email : ______</p><p>Are you a member of an art group? Yes No </p><p>If yes, please provide the name of art group ______</p><p>II. Terms and Conditions of the Contest The participant is accountable for any issues that may arise with regard to the originality and authenticity of the artwork submitted to the 2017 Volunteerism Poster Making Contest. The Philippine National Volunteer Service Coordinating Agency (PNVSCA) reserves the right to revoke all prizes in any case of misrepresentation or fraud, intended or otherwise, committed by any finalist or winner upon due investigation by PNVSCA. The PNVSCA has the proprietary rights to all the entries submitted. Thus, PNVSCA can utilize the posters along with the artists’ names for its publications, advocacy activities or other official purpose without any compensation to the artists. …………………………………………………………………………………………………………...... I hereby confirm and warrant that I have read, understood and agree to the Terms and Conditions of the Contest and that I consider them as binding and enforceable. </p><p>Name and Signature of the Participant: ______</p><p>Date : ______</p>