training registration form by Z5HN4T6E

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									IFSQC2011
2ND INTERNATIONAL                                                                                                                       REGISTRATION
                                                                                                                                        FORM
FOOD SAFETY & QUALITY                                                                                                Tel +966 2 6573994-5 | Fax +966 2 6573497
CONFERENCE                                                                                                           Email info@ifsqc.com | Web www.ifsqc.com


Please WRITE below your detail for single or multiple participants.
                                                                                                                       Place                         Event                            Amount
    First


1   Name                                   Cell
    Last                                   Email
    Name
    First


2   Name                                   Cell
    Last                                   Email
    Name
    First


3   Name                                   Cell
    Last                                   Email
    Name
    First


4   Name                                   Cell
    Last                                   Email
    Name
    First


5   Name                                   Cell
    Last                                   Email
    Name

                                                                                                                           Total Payable Amount in SAR

Organization

Address

                                                                   Payment Details
    Payment                                Payment
    Method                                 Detail
                                                   Please write the details How & When.you are going to pay the fee. After fee payment, Diversey will confirm you your registreation by issuing
                                                   personel "Registration Number". This registration number is required to present at the Registration Desk on the day of the event to get Entry Pass.
.

     Account No.         : 021-121819-002                                                                         In case of CHEQUE it should be in the name of
     IBAN                : Sa5545000000021121819002                                                               "Arab Business & Commerce International".
     Swift               : SABBSARI
     Title of Account    : ABC - Divrsy Wyndt D                                                                   In case of BANK TRANSFER Account detail are
     Bank                : Saudi British Bank                                                                     mentioned in side.
      Branch             : Main Branch, Waliyul Ahad, Jeddah, KSA

                                          CONFIRMATION (for DIVERSEY use only)
Payment Received in SAR

Payment Reference Detail

Registration No.

Contact for any query:

Mr. Ali
Executive Operation & Training Services
ABC DIVERSEY Consulting
PO Box 9272 Jeddah-21413 Kingdom of Saudi Arabia
TEL: +966 2 6573994-5 - FAX: +966 2 6573497
CEL: +966 53 520 1861
EMAIL: Moazzam.Ali@ABCDiversey.com

								
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