2013 MSCPMP Circle Sign Up/Renewal Form

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2013 MSCPMP Circle Sign Up/Renewal Form

  1. 1. 2013 MSCPMP Circle YEARLY Subscription Form
  2. 2. [New / Renew / Update] Subscriber InformationName: First Name:(As in Passport) Last Name: (Name registered with PMI footnote 1)Company (before) Designation: (Default is PM)Company (current) Email 1: (Personal)Company (current) Email 2:URL: (Personal)PMI ID: Mobile Phone:PMP ID: PMP Trained by Yes / No AsiaICTpm:PMP Certification Joined MSCPMP No:Date: Circle before (please If Yes : circle) : 2008 / 2009 / 2010 / 20111. You may check your name registered with PMI at https://ccrs.pmi.org2. Email 1, Email 2 or Mobile Phone is used to registered events3. If you have obtained your PMP from others, please email a copy of your passport size photo to mpc@AsiaICTpm.com.
  3. 3. 2013 MSCPMP Circle Subscription Fee One time registration fee Annual SubscriptionAsiaICTpm PMP Alumni RM100.00 RM300.00Others RM200.00 RM400.00FIRST TIME Subscriber1.AsiaICTpm PMP Alumni : RM100 + RM300 = RM4002.PMP Trained by Others: RM200 + RM400 = RM600Payable to MSCPMP Circle (Maybank 5-14169-15234-5)Amount: ______________________ Cash / Cheque No: _______________Bank: ______________________Terms and conditions:1.You will entitle to attend 2 Half Yearly Forums and one (1) additional SPECIAL EVENT free.2.Earning you a total of 12 PDUs.3.Enjoying 40% discount on all workshops organized by us which is conducted by internationalexperienced trainers.
  4. 4. How to make paymentDirect Transfer1.Transfer the fund via Maybank2u.com / Maybank’s ATM machine into ourMaybank account No 5-14169-15234-5 (account owner Advanced TechnologyStudies Center Sdn Bhd).2.Print PDF payment receipt and the completed registration form3.Email documents in (2) to us. Email: mpc@asiaictpm.comBy cheque1.Please cross your check and make payable to MSCPMP Circle (Maybank 5-14169-15234-5)2.Bank in the cheque via Maybank’s ATM machine and scan or fax bank inreceipt.3.Email documents in (2) to us. Email: mpc@asiaictpm.com

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