Logic Tools for Program Planning & Performance Improvement

Group Registration

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REGISTRATION FORM

Select Course Title*

Select Event Date*

First Name*

Last Name*

Email Address*

Phone Number*

Company Name*

Mobile Number*

Position Title*

Company Address:

Street*

City*

Province*

Post Code*

Country*

Billing Address

Street*

City*

Province*

Post Code*

Country*

Highest Academic Qualification*

What do you hope to gain from the course?*

Your English Proficiency*

Sub-total before SST

SST 6%:

Less: Group Discount 10% (for 3 or more persons from same organization)

Total:

Payment Method:

1. PayPal (PayPal,Credit Card, Debit Card)

2. Direct Bank Transfer

Payments can be remitted by telegraphic transfer to the account below. Please ensure that the exact amount due is received by CeDRE International. All bank charges through third party remitting bank should be borne by the participant. (Please note that registration is not confirmed until full payment is received).

Account Name

CEDRE INTERNATIONAL SDN BHD

Bank Name

RHB Bank Berhand

Account No

61217 00000 1367

Bank Branch

Bandar Utama, Petaling Jaya

Swift Code

RHBB MYKL

Bank Address

Lot G 01A, Ground Floor 1, 1^st Avenue, Bandar Utama

47800 Petaling Jaya, SelangorDE, Malaysia

Payments by Bank Draft should be made out to CEDRE INTERNATIONAL SDN BHD and sent together with the registration form. For government participants, payments can be made by Local Purchase Order and sent together with the registration form. All registration forms and payments by bank draft or Local Purchase Orders should be sent to:

CeDRE International Sdn Bhd, Suite 3-6, Perdana The Place, 1, Jalan PJU 8/5G, Damansara Perdana, 47820 Petaling Jaya, Selangor D.E. Malaysia.

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