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Preliminary Registration Form 62nd PSAE Annual National Convention Family Name: _______________________________________________ First Name: _________________________________________________ Title/Position: _______________________________________________ Address: ___________________________________________________ Mobile Phone: ______________________________________________ Phone-Fax: _________________________________________________ Email Address: ______________________________________________ 62nd PSAE Annual National Convention & 23rd Philippine Agricultural Engineering Week Theme: [ [ [ [ [ [ [ [ ] I will attend the convention ] I will submit/present ] Technical Paper: Title: ____________________________________ ] Video Film Documentary: _________________________________ ] Poster: ________________________________________________ ] Others (pls. specify) ______________________________________ ] I will join the eco-tour ____________________________________ ] we will put up exhibit: ____________________________________ Company Name: ____________________________________________ Contact Person: _____________________________________________ Phone-Fax: _____________Mobile: ____________Email:____________ FOR ADDITIONAL INFORMATION Please text, call or email: CAESAR JOVENTINO M. TADO, PhD President, PSAE Mobile: 0920 9012053 Email: [email protected] DECOROSO B. PADILLA, ASEAN Engr. Vice President & Convention Chair Mobile No. 0905 219 4933 Email: [email protected] Palawan Secretariat: PACIFICO T. SARIEGO III Mobile No: 09202337777 Email:[email protected] Manila PSAE Secretariat: PHOEBE M. REYES Executive Secretary Mobile: 0927 504 7270 Email:[email protected] Secretariat Office: Philippine Society of Agricultural Engineers Third Flr. ATI Bldg. Elliptical Rd. Diliman, Quezon City Metro Manila, Philippines Phone-Fax No. 02-920-4071 Mobile: 0927 504 7270 Website: http://www.philsocietyagriengr.webs.com “Providing Broad Based Agricultural Engineering Solutions to Attain Food Self Sufficiency.” Venue: Date: Victoriano J. Rodriguez Hall, Provincial Capitol Bldg, Puerto Princesa City, Palawan April 23-27, 2012 THE 2012 CONVENTION The Philippine Agricultural Engineering Week is celebrated every fourth week of April pursuant to Proclamation No. 369 dated 10 April 1989. 23rd Payments can be made to Philippine Society of Agricultural Engineers at Land Bank of the Philippines [QC Circle Branch] Account No. SA 0702100321. Kindly scan & email the bank deposit slips to [email protected] cc: [email protected]; [email protected]; [email protected] ACCOMODATION The PSAE will celebrate the Agricultural Engineering Week highlighted by the 10th PSAE International Convention and nd Exhibition, and the 62 PSAE Annual National Convention on 2327 April 2012 at Victoriano J. Rodriguez Hall, Provincial Capitol Bldg, Puerto Princesa City, Palawan. Different categories of hostels with affordable rates are available within the vicinity. You may also surf the internet for lodging facilities of your choice. The four-day activity will include plenary session, business forum, trade matching, technical paper presentation, exhibits, & eco-tour on the development and exciting opportunities in agricultural engineering and allied fields. Government and private institutions, and other entities wishing to take advantage of sponsorship or exhibit opportunities may contact the convention Chairperson or the Secretariat. You may also surf www.philsocietyagriengr.webs.com. LANGUAGES Delegates may join the Technical Tours to observe, appreciate, and motivate opportunities in the various agricultural systems and technologies in the countryside. For reservation you may request assistance from PSAE Manila or Palawan Secretariat. EXHIBITS Abstract not exceeding 250 words should be submitted on or before April 6, 2012 to [email protected]. Each abstract presentation in MS Word with Calibri Font 11 will be reviewed and the decision will be conveyed to each author by April 13, 2012. The guidelines in writing and presentation will be forwarded to the author with the acceptance letter. The final paper (1 CD-R & 50 hardcopies) must be submitted not later than April 23,2012. Said papers will be categorized accordingly. Submission of posters is also encouraged for the Poster Competition. REGISTRATION FEE The registration fee is discounted at (a) PhP 3,200 on or before March 30,2012; (b) PhP 3,500 on or before April 13, 2012 ; & PhP 4,000 on site registration for local participants and $200 for foreign participants. Name of Nominee: Last Name: _______________________________ Middle Name: _____________________________ First Name: _______________________________ Occupation: __________ PRC Lic. # ________ Expiry Date: _________ Residence Address: _________________________________________ Office/Company: ___________________________________________ Office Address: ____________________________________________ Mobile: ___________________ Phone-Fax: _____________________ Email Address: _____________________________________________ Nominated to: _____________________________________________ JUSTIFICATION FOR THE AWARD AWARDS 2012 • Agricultural machinery, mechanization, power, processing & food engineering • Agricultural buildings, structures, electrification, energy, waste disposal, utilization & environmental management • Soil and Water conservation, irrigation & drainage, water resources management, aquaculture resource engineering • Agricultural resources information technology resources, instrumentation & control, business & commerce NOMINATION FORM TECHNICAL TOUR The official languages of the conference are English and Filipino. CALL FOR PAPERS Interested persons, organizations , institutions, companies, and other entities are invited to present innovations, new technologies, products, systems innovations and best practices in agricultural engineering particularly in the following areas: OUTSTANDING AGRICULTURAL ENGINEERS AWARDS 2012 Nominations for the following awards must be submitted directly to PSAE through the Committee on Awards Email: • Most Outstanding AE (MARAMBA AWARD) • Outstanding AE in the fields of: - Renewable Energy and Rural Electrification - Environmental and Waste Management - Agricultural Machinery, Equipment and Power Units - Irrigation and Drainage - Soil and Water Conservation - Post-harvest Technology, Agri-Processing & Food Engineering - Agricultural Buildings and Structures - Agricultural Information Resources and Technology - Agricultural Instrumentation and Control - Fishery and Aquaculture Resources Engineering - Forest Product Resource Engineering - Special Awards - Most Outstanding Chapter (Regional & PPG) SUPPORTING AGENCIES & ENTITIES 1.Department of Agriculture 2.Philippine Rice Research Institute 3.Philippine Center for Post-harvest Development & Mechanization 4.Bureau of Fisheries and Aquatic Resources 5.Department of Science and Technology 6.Department of Environment and Natural Resources 7.Commission on Higher Education 8.Department of Interior & Local Government 9.Department of Energy 10.Department of Trade and Industry 11.National Agriculture and Fishery Council 12.Full Advantage Philippines 13.State Universities & Colleges 14.Local Government Units 15.Professional Regulation Commission _________________________________________________________ _________________________________________________________ Note: Please attach recent duly signed CV with 2x2 ID color picture of the nominee to be submitted on or before April 6, 2012. Email the said documents to [email protected] cc: [email protected] We the undersigned, hereby vouch for the credential of the abovenamed Nominee to the Outstanding Agricultural Engineer-Award for the year 2012. Signed this ____________ day of ____________2012. NAMES and SIGNATURES of Nominating Parties (PSAE Regional Chapter President and Officers) ___________________________________ ___________________________________ ___________________________________ ___________________________________ OUTSTANDING CHAPTERS Any PSAE Professional and Student Chapter can be nominated for Outstanding Chapter Award. In order to qualify in the final evaluation, nominated chapters are required to submit a report with pictorial documentation of the accomplishments and achievements for the year 2011. Although an individual is nominated to a specific award, the Awards Committee has the option to evaluate what particular award would be more appropriate.