Account Holder : Selangor Human Resource Development Centre. Bank Name. : CIMB Bank Berhad. Account Number : 1205-130536
Selangor State Investment Centre
Vibrant Selangor Seminar 2013
‘TALENT DEVELOPMENT IN SELANGOR’ Date : 29th October 2013 (Tuesday) Time : 8.00am to 5.00pm Venue : Shah Alam Convention Centre (SACC)
ENQUIRIES Contact: Syahid Othman Tel: +603 5510 2005, Fax: +603 5519 6403, 5511 2008 E-mail:
[email protected]
SEMINAR REGISTRATION FORM l
Register before 25th October 2013.
PARTICIPANT INFORMATION (Please fill in Company information below) Company Name Address Tel
Fax
Website Contact Person Email
Mobile
Signature & Company’s Chop DETAILS OF PARTICIPANT(S) No. Participant’s Full Name
Designation
Department
New I.C No.
How to Register Please complete this form and return to SSIC Berhad by e-mail or fax or online register at: Online : www.ssic.com.my email :
[email protected] Tel : +603 5510 2005 Fax : +603 5511 2008 Payment All payment must be made in advance of the seminar. Bank draft or cheques should be crossed and made payable to: Selangor Human Resource Development Centre BANK DETAILS Account Holder : Selangor Human Resource Development Centre Bank Name : CIMB Bank Berhad Account Number : 1205-130536605-8 Swift Code : CIBBMYKL Routing No. : CHIPS 009875 Bank Address : Level 1, Bangunan UMNO SElangor Lot P5.5, Persiaran Perbandaran, Seksyen 14 40675 Shah Alam, Selangor Darul Ehsan, Malaysia
REGISTRATION FEE (HRDF Claimable)
Number of Pax
RM200/ pax Early Bird : RM150/ pax (before 6 Oct. 2013)
Term & Conditions l Confirmation of registration will be issued once payment is received l No registration will be processed without full payment l For government participation, a local order or letter of approval must be presented before the Seminar Substitution or Cancellation l Should you be unable to attend, you may nominate a substitute l The organiser does not provide refunds for cancellations l The organiser reserves the right to change the content of the programme without notice including substitution, alteration or cancellation of speakers and/or topics and/or the alternation of dates of the event l The organiser reserves the right to amend any part of the published programme, agenda or speakers due to factors outside of its control.
Grouping (3 & above) : RM160/pax Total
Please notify us of your payment by faxing a copy of your remittance to us at: Fax: +603 5513 3490 or email at
[email protected] Confirmation Details: Receipt will be issued after payment received.
(RM)
Please ( 3 )
HRDF Claimable & Win the Lucky Draw Jointly organised by
Selangor State Investment Centre
Supported by
