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ONLINE REGISTRATION FORM
ASIA

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COURSE TITLE

Please indicate your preferred choice of venue in the relevant button：

SINGAPORE KUALA LUMPUR HONG KONG *

DETAILS

Organisation Name:

Address Line 1:

Address Line 2:

Country:

Post Code:

Tel:

Fax:

Website:

CONTACT PERSON

Name:		*
Designation:
Email::		*
Telephone:
Mobile:

DELEGATES

Name:
Designation:
Email::
Telephone:
Mobile:

Name:
Designation:
Email::
Telephone:
Mobile:

Name:
Designation:
Email::
Telephone:
Mobile:

Additional Delegate Names:

PAYMENT ADVICE

Payment is required before the event. Once received your place is automatically reserved.
Registration fee as indicated on brochure includes lunch, refreshments and full training documentation.
Kindly indicate your mode of payment:

	By Cheque
	Please make cheque payable to:
	Applied Technology Pte Ltd	in S$ for Singapore event
	Appled Technology Pte Ltd	in HK$ for Hong Kong event
	Applied Technology Associates Sdn Bhd	in RM for Malaysia event

	By Bank Transfer to our account (Account details will be emailed to you)

Special Instructions (if any)

I have read and understood the Terms and Conditions stated in the brochure.

If you encounter difficulties in submitting this registration,
please call Tel: (65) 6297 0440 or
Tel: (02) 6297 0440 (from Malaysia)
or Email us at: mail@apptechgroups.com

RED-DO Registration
( 2 steps 5 easy ways to register )