Registration Form

Registration Form
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SINGAPORE	UAE	PAKISTAN
*Ms. Conchita* Fax #: +65-6466-3453 e-mail: intek@emirates.net.ae H/Ph : +6-3-96321716	Ms. B Shelly Fax #: +971-4-3342831 e-mail: intek@emirates.net.ae Tel : +971-4-3342830 Mob: +971-50-6546634	Ms. Marrium Malik Fax #: +92-42-6316099 e-mail: intek@emirates.net.ae Tel : +92-42-6315880

For registration, either fax/email this form or complete the on-line registration.

We wish to nominate the following executive/s for the __________________ Workshop/s.

Organization:_______________________________________________________

Address:_________________________________________________________________________

Tel:______________________________________ Fax:___________________________________

Email: ___________________________________________________________________________

Nominated by:___________________________________________________________________

Name, Designation and Signature

Your Specific Concern: __________________________________________________________

Write a separate note if space not enough

Payment :

(Enclosed)

(Will be sent later)

Total Amount
(US$ / DHS):

___________________________

Note:

Pre Workshop �Participants� Form� shall be forwarded to all participants upon registration.
The maximum participants projected for this workshop are 20 (Maximum 5 participants from
one company), on a first come first serve basis. Intek reserves the right to regret, without assigning
any reason thereof.
Workshop fees is inclusive of Personalized Manuals, Lunch/refreshments, Certificates, new contacts etc�