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Waiting List Registration Form

* Mandatory fields.

*AER Intake Selection

Intake Selection 07 Oct 10 Lab Hands-on Available
11 Oct 10 Lab Hands-on Available

*Personal Details

Title
Name In NRIC/Passport
NRIC/Passport No
Mailing Address
Company's Name
Designation
Office Tel
Mobile
Fax
Email

Contact Person (if other than Participant)

Title
Contact Person's Name
Designation
Contact No
Fax
Email

*Payment Details

Total Fees Payable
(including GST)
Payment ModeCredit Card (Visa or MasterCard Only)
Cheque

*Declaration


  I hereby understand that the registration is confirmed only upon successful payment. I will be, therefore, deemed liable to make full payment of the Total Fees (Course fee and GST) regardless of attendance, upon confirmation of this registration.
  I have read and understand the Terms and Conditions set out by ICPAS and agree to the terms and details stipulated.

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TERMS AND CONDITIONS
  1. I hereby understand that the registration is confirmed only upon successful payment. I will be, therefore, deemed liable to make full payment of the Total Fees (Course fee and GST) regardless of attendance, upon confirmation of this registration.

  2. Full payment must be made before the course date.

  3. There is strictly no refund and / or cancellation upon submission of this registration.

  4. Course fee will be payable even in the event of non-attendance.

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