PRE-REGISTRATION

* Refers to the required question

First Name *

Middle Name

Last Name *

Full Name (ex. Juan Dela Cruz, MD) * to appear in delegate ID/e-Cert

Title (ex. MD / RN / RND or Others)

Telephone Number

Mobile Number *

Email*

Kindly double check the spelling of your email adress. We will send a scanned copy of your Official Receipt and Registration QR Code.

Hospital / Agency:

PRC ID Number

PRC Expiry Date (month/day/year e.g. January 25, 2026)*

PRC ID Photo (Front)

PRC ID Photo (Back)

Please see Registration Fee below

MODE OF PAYMENT *

You may pay your registration fee at the branches or online banking of the following banks:

AUTHORIZED BANKS:

Account Name: Diabetes Philippines, Inc.
METROBANK: 254-3-25402919-0
BDO (Universal Bank): 004-590297194

Kindly upload your proof of payment for us to process your Registration.*
Thank you.
Upload 1 supported file: Image (Not PDF).

If you paid with discount, please upload your SENIOR or PWD ID here:
Upload 1 supported file: Image (Not PDF). 10 GB max.

You may also renew your Membership for 2026 & 2027(500/year): Membership Fee

Kindly upload your proof of payment for us to process your Membership. Thank you! Please disregard this part if dues have already been paid or will apply as a non-member in the DPAC registration. Thank you!
Upload 1 supported file: Image (Not PDF).

Registration is Non-Refundable and Non-Transferable. For any concern and clarification you may contact us at the ff:
Email: dpsecretariats@gmail.com
Tel. No.: 8531-1278 | 8534-9559
Viber: 09287612091
Facebook Page: Diabetes Philippines or Diabetes Phil