1. REGISTRATION FORM
Name: Mr/ Mrs/ Ms (Please print name in block letters as you wish it to appear in the certificate)
JARINGAN ILMU RESOURCES ……………………………………………………………………….................................................……………..........
IC/Passport No:...........................................................
Tel:.…………………………………….…. (Office)
Department:................................................................
.……………………………………...... (Mobile)
Institute:........................................................................
Email:……........................……………………………
Designation:................................................................
Fax:………………………........................………..…
GROOMING & PERSONAL Specialty:.....................................................................
Meal request: Vegetarian
APPEARANCE PROGRAM Contact Address:
Diabetic
OUR CO - SPONSORS ....................................................................................
Signature :
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……………………….............……………
.................................................................................... *Attendance is compulsory for the whole duration of workshop.
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REGISTRATION INFORMATIONS
REGISTRATION FEES CANCELLATION
Registration Fees = RM 200.00 Any cancellation must be made in writing to
CITITEL HOTEL MID VALLEY, KUALA LUMPUR The workshop fee includes all; door the organiser.
2 MARCH 2013 gifts, goodies, vouchers, refreshments and • Full refund for cancellation at least 2 weeks
lunches. before date workshop;
• 50% refund for cancellation within 1 week;
• No refunds for cancellation less than 1
PAYMENT week or no show.
Payment must be submitted by 20 Feb 2013
Cheque / bank draft / local order / postal We reserve the right to change the date(s) or
Book now!!! Limited seats: 60 pax only order to be made payable and send to: speaker (s) of this course, if deem fit, without
Corporate Office @ MYKNOWLEDGE ARENA, 11-1-1 Jalan Megan Sri Rampai prior notice. We further reserve the right to
1, Taman Megan Sri Rampai, 53300 KUALA LUMPUR MYKNOWLEDGE ARENA cancel the course without liability other than
http://www.myknowledgearena.com /MyKnowledge Arena JARINGAN ILMU RESOURCES return of the course fee.
11-1-1, Jalan Megan Sri Rampai 1
myknowledgearena@gmail.com or myknowledgearena@unifi.my Taman Megan Sri Rampai FOR FURTHER ENQUIRIES, PLEASE CONTACT
T: +603 4144 2541 F: +603 4144 2541 M: +6019 699 2541 or +6012 307 53300 Kuala Lumpur. Mr. Hanif, Secretariat
7574 Tel / Fax : 03-41442541
Email: myknowledgearena@gmail.com
BANK DETAILS myknowledgearena@unifi.my
Bank Name: CIMB BANK Website: www.myknowledgearena.com
Bank Account No.:1422-0000-799108
Account Name: JARINGAN ILMU RESOURCE