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Registration Form-2011

Centre for SHEQ 11 Tampines Concourse #01-01 Singapore 528729 Tel (65) 68082665 fax (65)68082622 Co. Reg No. 200701199G REGISTRATION FORM Course Title: Course Date: CONTACT PERSON DETAILS Name Gender Male / Female NRIC / Passport No. Nationality Current Position / Designation Dietary Request: # None # Vegetarian PARTICIPANT 2 Name as in Passport in B

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154 views1 page

Registration Form-2011

Centre for SHEQ 11 Tampines Concourse #01-01 Singapore 528729 Tel (65) 68082665 fax (65)68082622 Co. Reg No. 200701199G REGISTRATION FORM Course Title: Course Date: CONTACT PERSON DETAILS Name Gender Male / Female NRIC / Passport No. Nationality Current Position / Designation Dietary Request: # None # Vegetarian PARTICIPANT 2 Name as in Passport in B

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Copyright
© Attribution Non-Commercial (BY-NC)
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Centre for SHEQ

11 Tampines Concourse #01-01 Singapore 528729 Tel (65) 68082665 Fax (65) 68082622 Co. Reg No. 200701199G

REGISTRATION FORM
Course Title: Course Date: CONTACT PERSON DETAILS Name Gender Male / Female Organisation Road/Street Name Postal Code Send confirmation details to: Me Participants Both Voucher code:

Phone

Fax

Mobile

Email

PARTICIPANT 1 Name as in Passport in BLOCK LETTERS (underline surname) Email Gender Male / Female NRIC/Passport No. Nationality Current Position/Designation Dietary Request: None Vegetarian PARTICIPANT 2 Name as in Passport in BLOCK LETTERS (underline surname) Email Gender Male / Female NRIC/Passport No. Nationality Current Position/Designation Dietary Request: None Vegetarian PARTICIPANT 3 Name as in Passport in BLOCK LETTERS (underline surname) Email Gender Male / Female NRIC/Passport No. Nationality Current Position/Designation Dietary Request: None Vegetarian

Signature of Contact Person


Please email or fax this form to: 1. Fax : 6808 2665 2. Email : [email protected]
IMPORTANT NOTES

Date & Company Stamp

A seat is reserved upon acceptance of registration form. Seat is only confirmed upon receipt of full payment. Strictly no cancellation or postponement once registration is confirmed Notify us in writing at least 14 days in advance if there is a need for replacement. Centre for SHEQ reserves the rights to change or cancel the course due to unforeseen circumstances. All mailed payment must be made by money/cashiers order or crossed cheque, payable to ST Electronics (e-Services) Pte Ltd Kindly write Name of Participant/s, NRIC, Course Title and Course Date on the reverse side of the cheque. Please send payment to: Centre for SHEQ. 11 Tampines Concourse #01-01. Singapore 528729 (Attn: Seminar Registration)

PAYMENT

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