This form will be used to collect the information of the participants to attend on the Public Consultation meeting for Republic Act No. 11725; “An Act Converting the Don Jose S. Monfort Medical Center Extension Hospital in the Municipality of Barotac Nuevo, Province of Iloilo, into a Tertiary Hospital to be known as Don Jose S Monfort Medical Center and Appropriating Funds Therefor”. Updates for the consultative meeting will be sent thru your emails. Thank you for your cooperation!