Dialogue

Activities

* Dialogue

Participant (s)

Participant 1

Name of Participant

Membership No

Fee

Participant 2

Name of Participant

Membership No

Fee

Participant 3

Name of Participant

Membership No

Fee

Participant 4

Name of Participant

Membership No

Fee

Participant 5

Name of Participant

Membership No

Fee

* TOTAL PAYABLE (RM)

Payment Method Cash
Bank-in/Online Transfer
Cheque
Local Order

Cheque No.

Terms & Conditions

Fees MUST BE FULLY PAID BEFORE THE CLOSING DATE. Seats could only be confirmed upon payment.
Payment can be made via CASH / CHEQUE / BANK-IN TRANSMISSION / ONLINE TRANSFER / LO / WALK-IN.
FULL PAYMENT must be settled before commencement of course, otherwise participant will not allowed to enter the hall. If a place is reserved and intended participant fail to attend the course, fee is to be settled in full. If participant made payment and failed to attend the course, the fee paid is non-refundable.
Payment via Bank-in Transmission /Online Transfer:-

ACCOUNT NO: 205 109 0000 8625 RHB BANK (RHB)
Payment via Cheque:-
Issued in favour of "The Institution of Engineers Malaysia, Negeri Sembilan Branch" and crossed 'A/C payee only'.
The Organising Committee reserves the right to alter or change the programme due to unforeseen circumstances.

Accept Terms & Conditions

I/We understand that the fee is not refundable if I/We withdraw after my/our application is accepted by the Organising Committee as stated in the cancellation term. If I/We fail to attend the seminar, the paid registration fee will not be refunded.

* Agree with Terms & Conditions :

Contact Person

* Contact Person

Designation

Name of Organisation

* Address

* Postcode

* City

* State

Telephone No (O)

* Telephone No (HP)

* E-mail

* Date

Enter the code

Thank you for submitting your registration form for the upcoming programme(s) at The Institution of Engineers Malaysia, Negeri Sembilan Branch.

Fees MUST BE FULLY PAID BEFORE THE CLOSING DATE. Seats could only be confirmed upon payment.

Payment can be made via CASH / CHEQUE / BANK-IN TRANSMISSION / ONLINE TRANSFER /LO / WALK-IN.

ACCOUNT NO: 205 109 0000 8625 RHB BANK (RHB)

Thank you.

Regards,
The Institution of Engineers, Malaysia
Negeri Sembilan Branch
No. 77-A-1, Lorong Haruan 5/3,
Oakland Commerce Square,
70300 Seremban,
Negeri Sembilan, Malaysia.
Tel : (606) 631 1011
E-mail: iemnsembilan@gmail.com

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27-01-2022 13:06:50

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