REGISTRATION
FORM
Early Bird Registration Deadline:
7 April
2014
Registration Deadline:
20 April
2014
Please return completed form
to:
MyFace Cadveric Course
Secretariat
c/o events.360
589C Montreal Drive, #07-136, Singapore 753589
' (65) 6618 2235
6 (65) 6886 9536
* register@events360.com.sg
Please fill in all the
compulsory fields denoted by *.
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REGISTRATION FEES
(inclusive of
GST)
Due
to limited places available, registration will only be confirmed upon receipt of full payment,
on a first-come-first- served basis.
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Categories
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Early Bird
(on / before 7 April 2014)
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Standard Rate
(After 7 April 2014)
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Workshop Hands-on (Trainees)
(Limited places
only!)
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SGD 750.00
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SGD
1,000.00
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Workshop Hands-on
(Limited places
only!)
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SGD
1,500.00
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SGD
2,000.00
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DELEGATE’S PARTICULARS
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*
Title
(please tick)
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Prof
A/Prof Dr Mr Mrs Ms
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*
Family/ Last Name
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*
First Name
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*
Full Name
(To be printed on Name Badge/ Certificate)
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*
Institution
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*
Designation
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*Department
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Address
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*Country
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Postal Code
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*Contact No.
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(Home)
(Office)
(Mobile)
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*Email Address
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CHEQUE / BANK DRAFT
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(to be drawn on a bank in Singapore)
Cheque / Bank draft No.
payable to “
Rias Holding(s) Pte Ltd” is enclosed.
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TELEGRAPHIC TRANSFER
I have remitted SGD through bank to
Rias Holding(s) Pte Ltd / Account
No.
522085679-001/ Bank Code 7339 / Branch Code 522 / Swift Code
OCBCSGSG with
Overseas-Chinese Banking Corporation Limited(65 Chulia
Street, #01-01, OCBC Centre,
Singapore
049513) stated that the payment is for
“
MyFace Cadveric Course”. Attached is a copy
of the remittance advice.
*Payment made
by Telegraphic Transfer or Bank Draft should be made nett of all bank charges and
commission.
Any cancellation or replacement must be conveyed to the
Organizer in writing. A cancellation fee of 50% of registration fee will be charged if the cancellation is
received on or before 20 April 2014. There will be no refund of
registration fee for cancellations made after the respective deadlines as stated above. The Organiser reserves
the right to modify the programme. Full refund will be made should the course be cancelled due to unforeseen
circumstances and all refunds will be made after the event.
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