Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out

MS Word format - DOC

VIEWS: 23 PAGES: 1

									ENHANCEMENT COURSES                                                                                               REGISTRATION POLICY
Registration Form                                                 Payment can be made by cash or using
                                                                  crossed cheque / bank draft / money order /
Course Title/Code.……………………………………………………………….. (see Course Details) telegraphic transfer made payable to
Date of Course…………………………………………………………………. (see Training Calendar)………………….. prior to the date of the
                                                                  UMCCed 2 weeks
Company……………………………………………………………………………………………………. programme. Otherwise we have to treat your
                                                                  registration(s) as unconfirmed.
Co. Registration No………………………………………………………………………………………...
                                                                  If you wish to pay through telegraphic transfer
Address……………………………………………………………………………………………………...                  please notify the Programme Coordinator
……………………………………………………………………………………………………………….. before transferring.
Company Website………………………………….…………………………………………………..…..
E-Mail………………………………………………….           Company Rubber Stamp
                                                                                                        REPLACEMENT OR CANCELLATIONS
Telephone…………………………………………….
Fax…………………………………………………….
                                                                                                     Replacement of participant(s) is allowed
                                                                                                     provided the Centre is notified in writing of the
                                                                                                     name and designation of the new
                                                                                                     participant(s) at any time prior to
Please Register (Please use separate form for each participant)                                      commencement of the course.
Name (as per NRIC)……………………………………………………………………………………….                                                 Cancellations from the course is subject to
Designation…………………………………………………………………………………………………                                                     the following:
NRIC No (required)……………………………………….............................. [ ] Male [ ] Female                    i. Seven (7) days prior to commencement
Telephone………………………………………………Fax……..………………………………………..                                                        -full refund
Mobile…………l……………………………………………………………………………………………..                                                      ii. Less than seven (7) days prior to the
                                                                                                           commencement-50% refund
E-mail………………………………………………………………………………………………..………
                                                                                                     After the commencement / No show - no
                                                                                                     refund.
                                                                                                     Non-Attendance
                                               SPONSORSHIP                                           If a participant fails to attend a course, the
                                                                                                     course fees will not be refunded nor allocated
                                                                                                     to another course.
For company sponsored participant, please indicate:
Name of authorized person……………………………………………………………………………….
Designation………………………………………………………………………………………………….                                                                 EARLY BIRD DISCOUNT
Authorized signature……………………………………………………………………………………….                                               Registration forms together with full payment
(if you are sponsored by your organization, please ensure that the registration form is signed by    of course fees received one (1) month before
 your authorized signatory)                                                                          the commencement of the course is entitled to
                                                                                                     a 10% discount. Proof of posting is not proof
                                                                                                     of receipt.
                                           PAYMENT DETAILS

                                                                                                                      GROUP DISCOUNT
Enclosed is cheque / bank draft / money order / telegraphic transfer note / Purchasing Order
(No._____________________) for RM_________________ date _______________________.                     An organization sending three or more staff
Cheques should be crossed and made payable to “ UMCCed”. Please include bank charges /               members to attend the same course held on
commissions for outstation cheques. All transfers should be made to the account below:               the same day is entitled to 10% discount.

Account number                : 1440 000914 8053
Bank                          : CIMB Bank Bhd
                                                                                                                          DISCLAIMER
Branch                        : University of Malaya
                                50603 Kuala Lumpur, Malaysia
                                                                                              Change of course date, course leader or
                                                                                              venue
Please send a copy of your transfer to the Programme Coordinator. The Programme Coordinator will Centre reserves the right to make
                                                                                              The
will send an acknowledgement upon receipt of payment.                                         alternative arrangement to the above without
                                                                                              prior notice to participants. Classes with fewer
                                                                                              than five registrants are subject to
I, the undersigned, have read and understood the                                              cancellation. Nevertheless, every effort will be
Registration Policy and accept the terms contained therein.     Kindly register early as      made to inform the participant of these
                                                              confirmation of participation   changes.
                                                                     is based on first-come-first-
                                                                    serve basis. Please complete     Additional expenses
                                                                     and fax us the Registration     The Centre shall not be responsible for any
                                                                                                     extra expenses incurred by any participant(s)
                                                                                Form.
Signature: _______________________________                                                           while attending the course.

For registration and payment please contact:       For enquiries, please contact:
                                                                                                                          For office use only:
Pn. Noraishah/ Pn. Noorraha                        Pn. Padmini Menon
UMCCed, A Block, Level 3, University of Malaya     Abbott Laboratories (M) SDN. BHD                  Date of form received:
City Campus, Jalan Tun Ismail 50480 Kuala          No. 22, Jalan Pemaju U1/15, Seksyen U1,           Date of payment received:
Lumpur                                             HICOM-Glenmarie Industrial Park, 40150, Shah
                                                   Alam, Selangor                                    Date of commencement:

Tel: 03-2617 3111/ 3171/ 3124                                                                        Discount entitled (please tick): [ ] Grouping   [ ] Early Bird
Fax: 03-2617 3110                                  Tel: 03-5569 1919 (ext 126) Fax: 03-5569 1445
E-mail: umcced@um.edu.my                           E-mail: padmini.menon@abbott.com

								
To top