penang international -...
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REGISTRATION FORM (Fax : 03-7982 9811 or Email: [email protected] | [email protected] ) PMBBMDA Email : [email protected] (Ms Kate )
COMPANY DETAILS
Name of Company :__________________________________________________________________________________
Address: __________________________________________________________________________________________
__________________________________________________________________________________________________
Contact Person : _____________________________________ Email : ________________________________________
:____________________ :___________________ Signature & Company Stamp:
CATEGORIES RM/PaxNo. of
PaxTotal (RM)
With CIDB Green Card 450.00
Without CIDB Green Card 550.00
TOTAL
Fees are inclusive of 6% Service Tax Cheque Payment or cash bank in:MASTER BUILDERS ASSOCIATION MALAYSIAAccount No: MAYBANK 014 114 430 810 A copy of Bank-in Slip (Cash/Cheque) must be extended to MBAM Secretariat as proof of payment.
Notes: 1) NO CANCELLATION of registration and refund of
fees are allowed upon receipt of thisregistration. However, substitute is permitted.
2) MBAM reserves the rights to change any topicsof the Seminar without prior notification toparticipants. Due to limited seats available,acceptance is based on first-come-first-servedbasis.
REGISTRATION
We wish to register the followings par ticipants:-
1. Mr/Ms __________________________________________ Designation: ____________________________________
NRIC: _______________________________________ CIDB Green Card Expiry Date: __________________________
Tel or H/P No: _________________________________ Email : ______________________________________________
JKKP Reg. No: _______________________________________________________________________________(if any)
2. Mr/Ms __________________________________________ Designation: ____________________________________
NRIC: _______________________________________ CIDB Green Card Expiry Date: __________________________
Tel or H/P No: _________________________________ Email : ______________________________________________
JKKP Reg. No: _______________________________________________________________________________(if any)
3. Mr/Ms __________________________________________ Designation: ____________________________________
NRIC: _______________________________________ CIDB Green Card Expiry Date: __________________________
Tel or H/P No: _________________________________ Email : ______________________________________________
JKKP Reg. No: _______________________________________________________________________________(if any)
The Top Penang, 1, Jalan Penang, George Town, 10000 George Town, Pulau Pinang
PENANG INTERNATIONAL
CONSTRUCTION CONFERENCE
2019 - SAFETY & INNOVATION18TH - 19TH JULY 2019 (THURS & FRI)
Supported by::
MBAM
Endorsed by:
PMBBMDA
Penang State Government