LCCI Exam registration form

LCCI Exam and Schedule*
Make sure that the exam you selected is your preffered course and date and submissions are made before the deadline.
Personal Information
Name*
Prefix First Middle Last
Email*
Mobile Number*
Date of Birth*
Date Format: MM slash DD slash YYYY
Sex*
TIN (Tax Identification Number)*
Professional Background
Institution Name*
Designation*
Organizational Membership
Training Location/Region*
Government Issued ID*
Accepted file types: jpg, jpeg, png, gif, pdf.
Upload Government Issued Identification (ID)
Registration and Payment Information
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Training Fee
Price: Php 5,665.00
Payment for LGIS Training of Trainers
Payment Options
- Pay through bank
Payment for LGIS Training
LGIS QUALIFICATIONS ASSESSMENT AUTHORITY CORP.
Security Bank (Current Account)
0000011299137
Swift code: SETCPHMM

Please forward a copy of bank transaction slip to admin@lgis-authority.com for confirmation of payment with Subject: Training:Name of Training Payment with your Fullname e.g. Training:Allied Health Training Payment Jon Doe
Payment Details*

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Maestro
Card Number Expiration Date Security Code Cardholder Name
For added security, you will be redirected to Paypal to complete payment transaction which you can choose to login or PAY USING YOUR CREDIT/DEBIT CARD. Check your email for confirmation of payment. Do not cancel or close browser while payment is being processed.
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Professional Background

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