PNRI - Nuclear Training Online Application

Select the Course you want to apply/register

Select a Schedule for the Course

READ BEFORE YOU PROCEED

A. Before proceeding, please prepare e-copy of the following for uploading:

1. 1x1 image/photo (DO NOT UPLOAD graduation pictures nor office ID)

2. Recommendation letter to attend the course from your RPO/Supervisor

3. Medical Certificate (link: PNRI Forms)

B. If the course you are trying to apply is not listed, here are three reasons:

• Not open for registration: Registration typically opens one or two months before the start of the training course.

• Closed: The maximum number of applications has been reached.

• Cancelled: The course did not meet the minimum number of required applications and will be rescheduled.

C. NDT Training courses are only open to local participants until further notice

Please fill-in your Basic Information

First Name:

Middle Name:

Last Name:

Name Extension:

Sex:

Male Female

Civil Status:

Please fill-in your Basic Information

Date of Birth:

Place of Birth:

Nationality:

Home Address:

Contact Number:

Personal Email

PRC License Number:

Name on PRC License:

License Validity Until:

Profession:

Please fill-in your Work Background

Office/Company Name:

Not Found? Add your Company Add

Sector:

Private Government

Office Address:

Office Region:

Contact Number

Work Email

Position:

Brief Description of Work:

Please fill-in your Educational Background

Add another Degree

Type	Degree	Specialization	School	Year Graduated
Bachelor's Degree

Please fill-in Other Information

List of Nuclear/Radiation Technology and Safety and Security related training courses/seminar previously attended (if any):

List of Publications (if any):

Membership in Technical Societies/ Professional Organizations (if any):

Radioactive Materials and/or Radiation Emitting Devices handled/will be handling or are available /will be available in the institution/company:

Primary Use/Applications of radioactive materials and/or radiation emitting device in the institution/company (Select ALL that applies):

Gauging (e.g. moisture, thickness,level, etc.)
Industrial Radiography
Medical Radiography (diagnostic and therapeutic)
Materials Modification and/or Characterization
Radiopharmaceuticals
Others (please specify)

Brief Statement of purpose in applying for the course:

Please provide the required attachments

Review and Confirmation

In compliance with RA-10173 also known as the Philippine Data Privacy Act of 2012, the Philippine Nuclear Research Institute - Nuclear Training Center (PNRI-NTC) recognizes its responsibilities to respect and protect the data it collects, uses, organizes, records, updates, consolidates or deletes from its clients.

When you apply and enroll as a participant ("learner") on our courses, as part of the application and enrollment process, we collect the personal information you give us, such as your name and contact details. The information collected from the registration form are only used for the following purposes: Addressing accounts to you, as well as processing payments, writing to you about the details of the program, processing and reporting of documents related to the event, certificate of completion and directory for announcements/ promotions of events, programs, courses and other activities offered/ organized by PNRI-NTC and its partner institutions.

All information obtained from the registration form is entered and stored within the organization’s authorized database and will only be accessed by the PNRI-NTC authorized personnel. PNRI shall take reasonable security measures to ensure that the data collected will be treated with utmost confidentiality and will not be used other than for the aforementioned purposes.

Furthermore, PNRI-NTC shall not disclose your personal information without your consent and shall retain this information over a period of 3 years for the effective database management.

If you wish to correct, amend any personal information, or withdraw your consent for us to contact you, for the continued collection or use of your data, at any time, contact our office at ntc@pnri.dost.gov.ph.

By submitting this application form, you agree to this terms and conditions.

I certify that the statements contained in this application are correct and complete to the best of my knowledge