REGISTRATION FORM FOR ISO 37001:2016 ABMS TRAINING

TERMS & CONDITIONS

Fee includes course materials, lunch and 2 tea breaks per day.
No refund will be entertained for no show or written cancellation after payment has been made.
Upon FULL attendance of the program, participants will be issued an “E-certificate”.
For this purpose, filling up the email address is COMPULSORY.
TI-M reserves the right to change the speaker(s), date(s) and to cancel the program if any circumstances beyond our control arises.
Please select the participant’s classification carefully as it determines the fee payable.
No amendments will be allowed after the registration is accepted.
Personal Data is gathered in accordance with the Personal Data Protection Act 2010 (Act 709)

CONTACT DETAILS
Phone
+603 7960 6630

Email
ti-malaysia@transparency.org.my

Address
No.8 , Lorong 12/17C, Section 12, 46200
Petaling Jaya, Selangor

Question Title

* 1. Personal Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. Salutation

Dato'

Datin

Mrs

Question Title

* 3. Are you a member of Transparency International Malaysia ?

Member

Non-member

Question Title

* 4. Which program fee are you paying ?

TI-M Member Individual
RM 699 nett

TI-M Member Group (3 or more from the same organization)
RM 599 nett / per pax

Non-Member Individual
RM 799 nett

Non-Member Group (3 or more from the same organization)
RM 699 nett / per pax

Question Title

* 5. How would you like to pay ?

Cheque
Name: THE MALAYSIAN SOCIETY FOR TRANSPARENCY AND INTEGRITY

Direct Banking
Account Info: PUBLIC BANK BERHAD
Account No: 3131 43 4022

PAYMENT INFORMATION
Please email to us the remittance advice/letter of undertaking/ any proof of payment before the workshop for our record. If you pay online, please email your bank-in slip to
us also.

ALL registrations MUST be accompanied with full payment. Upon receipt of your registration, you are deemed to have read and understood the registration procedures and accepted the terms & conditions contained therein.