Final Registration form 2 by CpA177

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									        Send completed registration form to:
        Portia Matamela
        E-mail:          PortiaM@dbsa.org
        Tel:             011 313 3301
        Fax              011 206 3301

        Particulars of participant (NB: one form per person)

        CONFIRMATION              YES                        NO
    1
        Surname
        Title
        Preferred Name
        Institution
        Designation

        Mailing Address
        City                                                                    Code
        Country                   SOUTH AFRICA

        Telephone
                                                                                  Please
                                                                                  include
        Fax
                                                                                  codes
        Mobile
        e-mail


        Mark requirement with           X
2
                                        Colour and make
        Car details (if parking
        is required)                        Registration


        Dietary requirements please specify
3
6       Diabetic/Kosher/Halaal/Vegetarian/
        Other



        REGISTRATION FOR THE CONFERENCE IMPLIES YOUR ACCEPTANCE OF THE
        CONDITIONS SPECIFIED BELOW:

        Please indicate which parallel session you will be attending on the second day of the
        conference? Please mark the selected parallel session with an X for each time slot.




                                                                                            1
                       Water Security
09h00 – 10h30          Energy Security
                       Improving Health Outcomes
                       Transport
                       Telecommunication
11h00 – 12h30
                       Achieving Internationally
                       Competitive Educational
                       Outcomes



CONFERENCE VENUE

                The South African Reserve Bank
                Pretoria CBD
                No. 370 Vermeulen Street (pedestrian entrance is 370 Church Street)
                Tel 012 313 4944
                Fax 012 313 4905
                www.reservebank.co.za


PARKING
Parking facilities are available at the Reserve Bank -Parking Entrance 370 Vermeulen Street. All
delegates will receive a entrance electronic voucher in advance for security reasons.

CANCELLATION POLICY
Notification of cancellation must be sent to the organisers in writing.

LETTERS OF INVITATION
These letters of invitation are non-transferable, and will only be issued by the DBSA on these
terms, unless the Conference Co-ordinating Committee decides otherwise.

DISCLAIMER
The Conference Organisers and its subcontractors do not accept responsibility for damage and/or
loss of any kind which may be incurred by Conference attendees or any persons accompanying
them. Kindly note that speakers’ comments during the Conference are in no way binding on the
organisers.

CONTACT PERSONS
For all enquiries, please contact
Mr. Alvino Wildschutt
E-mail            alvinow@dbsa.org
Tel               (011) 313 3335
Fax               (011) 206 3335




             RSVP by Thursday, 12 November 2009



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