E - REGISTRATION

PROGRAMME REGISTRATION FORM

PROGRAMME NAME

PROGRAMME DATE

MonthDayYear

PROGRAMME LOCATION

APPLICANT

FULL NAME*

PrefixFirst NameLast Name

DESIGNATION

E-MAIL*

PHONE NO (O)*

Area CodePhone Number

FAX NO (O)*

Area CodePhone Number

ORGANIZATION INFORMATION / DETAILS

ORGANIZATION NAME

OFFICE ADDRESS*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

DETAILS OF REGISTRANTS

PARTICIPANT 1:

FULL NAME

PrefixFirst NameLast Name

DESIGNATION

IC NO / PASSPORT NO

PHONE NO (O)

Area CodePhone Number

PHONE NO (H)

Area CodePhone Number

E-MAIL

PARTICIPANT 2:

FULL NAME

PrefixFirst NameLast Name

DESIGNATION

IC NO / PASSPORT NO

PHONE NO (0)

Area CodePhone Number

PHONE NO (H)

Area CodePhone Number

E-MAIL

PARTICIPANT 3:

FULL NAME

PrefixFirst NameLast Name

DESIGNATION

IC NO / PASSPORT NO

PHONE NO (0)

Area CodePhone Number

PHONE NO (H)

Area CodePhone Number

E-MAIL

Cancellation Policy and Postponement of Programme

Because attendance at this programme requires significant advance preparation, refunds are not permitted. Invoice once issued can't be cancelled except for exceptional reasons. Registrants who cancel less than 7 days in advance may nominate an acceptable substitute or attend a future session of the same programme within one calendar year.

Organiser reserves the right to postpone the programme 2 weeks before dates, if there are insufficient registrations.