Certified-Hacking-Forensic-Investigator-CHFI-REGISTRATION-FORM

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					                                 REGISTRATION FORM

NAME           : ……………………………………………………………………………….………….
METRIC NO      : ……………………………………………………………………………….………….
PROGRAM        : ………………………………………………………………………………..…………
ADDRESS        : ………………………………………………………………………………..…………
HP NO          : ………………………………………………………………………………..…………
EMAIL          : ………………………………………………………………………………..…………

Yes, I want to attend:

Certified Hacking Forensic Investigator (CHFI)                   * 6th – 10th February 2012

                              Register Now !! Limited to 10 Pax Only

                     Registration Type                              Fee
                UTM AIS Student & Alumni                RM1,500 per pax/course
             UTM Student/Sponsored/Alumni               RM2,000 per pax/course


Terms & Conditions
    The price is inclusive of 5 days training, lunch, coffee breaks, exam voucher & licensed
       course material.
    Registration form along with fees must be paid by 25th January 2012.
    All payment must be paid using bank draft / money order and should be made payable
       to ‘ BENDAHARI UNIVERISITI TEKNOLOGI MALAYSIA’
    Registration will be confirmed only upon receiving full payment
    No refund

** UTM AIS reserves the right to cancel or reschedule the program & will advise the participants
accordingly.

Send Completed form by mail, fax or email to:

                             ADVANCED INFORMATICS SCHOOL ( UTM AIS)
                                         ( formerly known as CASE)                       Exclusive for UTM
                                       Universiti Teknologi Malaysia
                                                                                            Students &
                                            International Campus
                                             Jalan Semarak 54100                              Alumni
                                                 Kuala Lumpur
                          Tel : ( +603 ) 2615 4429 /4727 Fax: ( +603) 2693 0933
                                         Email: enquiry_ais@ic.utm.my

				
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