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NXGN (NEXTGEN) Aged Care & Wellness Conference & Exhibition
Online Registration Form
Date:
02 September 2023
Venue:
Komune Living & Wellness, 21, Jalan Tasik Permaisuri 2, Bandar Tun Razak, 56000 Kuala Lumpur, WP Kuala Lumpur Malaysia.
For further details please visit:
www.uoa-academy.com/NXGN
1.
Please choose your rate. (For attending conference only. No registration required for attending exhibition)
Conference Participant: RM 599 - Public Rate Per Person
Conference Participant: RM 399: Senior Citizen's Rate Per Person
Conference Participant: RM 1000: Family / Group Rate inclusive for 3 Persons
Associations / Endorser / Conference Partner Rate
Special Offer
(Offer from 1st - 7th August 2023)
:
RM 349 Per Person
- For Public & Senior Citizen's Rate
Others
2.
Kindly indicate as per the following - If you are registering under
Associations / Endorser / Conference Partner:
University of the Third Age
National Cancer Society Malaysia
Malaysian Research Institute on Ageing (MyAgeing)
Association for Residential Aged Care Operators of Malaysia
Malaysian Association of Hotel Owners (MAHO)
ASEAN HR Leaders Circle Malaysia
National Cancer Society Malaysia
3.
Mode of Payment:
HRD Corp Claimable
Bank Transfer
Other (please specify)
*
4.
Kindly provide the registered company name for the HRDC Grant Application. If you are opting for a different mode of payment, please write "N/A" in the respective field.
(Required.)
*
5.
Do you require accommodation?
(Required.)
Yes
No
6.
Nature of Business:
Agriculture & Forestry
Mining And Quarrying
Manufacturing
Construction
Hospitality & Tourism
Oil & Gas
Telecommunication
Transportation
IT
Other (please specify)
7.
Please state if you are a Vegetarian:
Yes
No
8.
Do you have any food allergies? If yes, please state your allergy below:
9.
Submitted by
Name
Designation
Company Address
Email Address
Phone Number
10.
Participant 1
Name
Preferred Name (Name Badge)
Designation
Company Address
Email Address
Phone Number
11.
Participant 2
Name
Preferred Name (Name Badge)
Designation
Company Address
Email Address
Phone Number
12.
Participant 3
Name
Designation
Company Address
Email Address
Phone Number
13.
Participant 4
Name
Designation
Company Address
Email Address
Phone Number
14.
Participant 5
Name
Designation
Company Address
Email Address
Phone Number
Thank you for the registration. We will be in contact with you soon for further process.
For any enquiries, please contact Mr Aqmal Fikri at:
UOA Academy Sdn Bhd
UOA Corporate Tower, Lobby A, Avenue 10, The Vertical
Bangsar South City, No 8 Jalan Kerinchi
59200 Kuala Lumpur, Malaysia.
Tel: 6016-241 3517
Email: register@uoa-academy.com
