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REGISTRATION FORM


                                                                      Name: Mr/ Mrs/ Ms (Please print name in block letters as you wish it to appear in the certificate)


                         JARINGAN ILMU RESOURCES                      ...........................................................



                                                                      IC/Passport No:...........................................................
                                                                                                                                                                      Tel:... (Office)
                                                                      Department:................................................................
                                                                                                                                                                        ....... (Mobile)
                                                                      Institute:........................................................................
                                                                                                                                                                      Email:........................
                                                                      Designation:................................................................
                                                                                                                                                                      Fax:..........................
                              GROOMING & PERSONAL                     Specialty:.....................................................................
                                                                                                                                                                      Meal request:       Vegetarian
                              APPEARANCE PROGRAM                      Contact Address:
                                                                                                                                                                                          Diabetic
                               OUR CO - SPONSORS                      ....................................................................................
                                                                                                                                                                      Signature :
                                                                      ....................................................................................
                                                                                                                                                                      .............
                                                                      ....................................................................................            *Attendance is compulsory for the whole duration of workshop.

                                                                      ....................................................................................




                                                                                                                                    REGISTRATION INFORMATIONS

                                                                      REGISTRATION FEES                                                                               CANCELLATION
                                                                      Registration Fees = RM 200.00                                                                   Any cancellation must be made in writing to
        CITITEL HOTEL MID VALLEY, KUALA LUMPUR                        The workshop fee includes all; door                                                             the organiser.
                    2 MARCH 2013                                      gifts, goodies, vouchers, refreshments and                                                       Full refund for cancellation at least 2 weeks
                                                                      lunches.                                                                                          before date workshop;
                                                                                                                                                                       50% refund for cancellation within 1 week;
                                                                                                                                                                       No refunds for cancellation less than 1
                                                                      PAYMENT                                                                                           week or no show.
                                                                      Payment must be submitted by 20 Feb 2013
                                                                      Cheque / bank draft / local order / postal                                                      We reserve the right to change the date(s) or
Book now!!!                            Limited seats: 60 pax only     order to be made payable and send to:                                                           speaker (s) of this course, if deem fit, without
Corporate Office @ MYKNOWLEDGE ARENA, 11-1-1 Jalan Megan Sri Rampai                                                                                                   prior notice. We further reserve the right to
1, Taman Megan Sri Rampai, 53300 KUALA LUMPUR                         MYKNOWLEDGE ARENA                                                                               cancel the course without liability other than
http://www.myknowledgearena.com         /MyKnowledge Arena            JARINGAN ILMU RESOURCES                                                                         return of the course fee.
                                                                      11-1-1, Jalan Megan Sri Rampai 1
myknowledgearena@gmail.com or myknowledgearena@unifi.my               Taman Megan Sri Rampai                                                                          FOR FURTHER ENQUIRIES, PLEASE CONTACT
T: +603 4144 2541 F: +603 4144 2541 M: +6019 699 2541 or +6012 307    53300 Kuala Lumpur.                                                                             Mr. Hanif, Secretariat
7574                                                                                                                                                                  Tel / Fax : 03-41442541
                                                                                                                                                                      Email: myknowledgearena@gmail.com
                                                                      BANK DETAILS                                                                                            myknowledgearena@unifi.my
                                                                      Bank Name: CIMB BANK                                                                            Website: www.myknowledgearena.com
                                                                      Bank Account No.:1422-0000-799108
                                                                      Account Name: JARINGAN ILMU RESOURCE
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Grooming Registration Form

  • 1. REGISTRATION FORM Name: Mr/ Mrs/ Ms (Please print name in block letters as you wish it to appear in the certificate) JARINGAN ILMU RESOURCES ........................................................... IC/Passport No:........................................................... Tel:... (Office) Department:................................................................ ....... (Mobile) Institute:........................................................................ Email:........................ Designation:................................................................ Fax:.......................... GROOMING & PERSONAL Specialty:..................................................................... Meal request: Vegetarian APPEARANCE PROGRAM Contact Address: Diabetic OUR CO - SPONSORS .................................................................................... Signature : .................................................................................... ............. .................................................................................... *Attendance is compulsory for the whole duration of workshop. .................................................................................... REGISTRATION INFORMATIONS REGISTRATION FEES CANCELLATION Registration Fees = RM 200.00 Any cancellation must be made in writing to CITITEL HOTEL MID VALLEY, KUALA LUMPUR The workshop fee includes all; door the organiser. 2 MARCH 2013 gifts, goodies, vouchers, refreshments and Full refund for cancellation at least 2 weeks lunches. before date workshop; 50% refund for cancellation within 1 week; No refunds for cancellation less than 1 PAYMENT week or no show. Payment must be submitted by 20 Feb 2013 Cheque / bank draft / local order / postal We reserve the right to change the date(s) or Book now!!! Limited seats: 60 pax only order to be made payable and send to: speaker (s) of this course, if deem fit, without Corporate Office @ MYKNOWLEDGE ARENA, 11-1-1 Jalan Megan Sri Rampai prior notice. We further reserve the right to 1, Taman Megan Sri Rampai, 53300 KUALA LUMPUR MYKNOWLEDGE ARENA cancel the course without liability other than http://www.myknowledgearena.com /MyKnowledge Arena JARINGAN ILMU RESOURCES return of the course fee. 11-1-1, Jalan Megan Sri Rampai 1 myknowledgearena@gmail.com or myknowledgearena@unifi.my Taman Megan Sri Rampai FOR FURTHER ENQUIRIES, PLEASE CONTACT T: +603 4144 2541 F: +603 4144 2541 M: +6019 699 2541 or +6012 307 53300 Kuala Lumpur. Mr. Hanif, Secretariat 7574 Tel / Fax : 03-41442541 Email: myknowledgearena@gmail.com BANK DETAILS myknowledgearena@unifi.my Bank Name: CIMB BANK Website: www.myknowledgearena.com Bank Account No.:1422-0000-799108 Account Name: JARINGAN ILMU RESOURCE