For inquiries, please contact us through: The Director UP NISMED E. Quirino Ave. UP Campus Diliman, Quezon City 1101, Philippines Telephone Numbers: (632) 981-8500 loc. 3901 to 3910 (632) 927-4276 (632) 928-1563 Fax Numbers: (632) 928-3545 (632) 928-1648 Cellular Phone Number: (63) 921-642-3163 Email Address: nismed@up.edu.ph
All rights reserved. UP NISMED 1997-2008
For comments, email us at nismed@up.edu.ph
SCIENCE TEACHER TRAINING CENTER HOSTEL
RESERVATION FORM
Name
,
Gender
[ Select One ] Male Female
Birth Date
[ Select Month ] January February March April May June July August September October November December ,
Address
Nationality
Telephone/Cellphone No.
Email Address
Type of Occupancy
[ Select One ] UP Unit Non-UP Unit
Check In Date
[ Select Month ] January February March April May June July August September October November December
Check Out Date
No. of Rooms
Room Type
[ Please Select ] Single Airconditioned with Private Toilet and Bath Double Airconditioned with Private Toilet and Bath Single Airconditioned with Two Rooms Share Toilet and Bath Double Airconditioned with Two Rooms Share Toilet and Bath Single Ceiling Fan with Two Rooms Share Toilet and Bath Double Ceiling Fan with Two Rooms Share Toilet and Bath Triple Ceiling Fan with Two Rooms Share Toilet and Bath
