Annex A

ENTRY FORM

Institute of Integrated Electrical Engineers of the Philippines- Cagayan de Oro Chapter

2019 Electrical Engineering Council of Students Chapter

Regional Research Contest
Entry Checklist:
___ Entry Form
___ Printed Copy of
Research Paper, in A4 white
bond paper, bound in 1.0 Title of Research Entry
sliding folder with 2.0 Name of
transparent cover
___ Soft copy of research
School
paper
___ Powerpoint presentation
in compact disk 3.0 Address
___ Certificate of
Originality

4.0 Research Category: (Please check as appropriate)

Renewable Energy Instrumentation and Control

Power Electronics
Energy Conversion
Energy Utilization and Environment
Software Application on EE
Mechatronics/Machine Automation
Microelectronics
Microcontroller-based/Microprocessor-based
Others: (please specify)
_________________________________________

5.0 Contact 5.1 Name

Person
5.2 Designation

5.3 Contact Numbers

5.4 Email Address

6.0 Proponents Last Name, First Name, Middle Name IIEE Membership No.
(Please attach
6.1
another sheet
if necessary)
6.2

6.3

6.4

6.5

6.6

6.7

6.8

6.9

6.10

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 Annex A
ENTRY FORM

Last Name, First Name, Middle Name IIEE Membership No.

6.11 Faculty Adviser

6.12 Faculty Adviser

7.0 Abstract

To be filled by the IIEE Secretariat: 8.0 Certified True and Correct:(Signature over
Printed Name)
Entry Number
Received By
Date 8.1 Designation:
Remarks 8.2 Date :

For more information, please refer to the Concept Paper (Annex D) attached with this document. For
inquiries, please contact the NRMC Coordinator, Ms. Liezel V. Mateo, IIEE CDO Office, Macajalar,
Camaman-an, Cagayan de Oro Telephone number:(088) 857-7993, Mobile number: 0977-813-4968 , E-mail
address: iiee.cdochapter@gmail.com

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