Workshop Registration Form
:: Workshop Particulars * Required fields
Workshop Name
Workshop Date
Venue
:: Personal Particulars   (Please provide either your NRIC No. or Passport No.)
Name * Privacy Policy
National Registration Identification Card Number (NRIC No.)
Date of Birth - -
Occupation
Gender
Marital Status
Nationality   If other nationality
Street Address 1 *
Street Address 2
Postal Code *
City *
State *
Country *
:: Contact Information   (Please provide at least one contact number)
Home Telephone No.
Office Telephone No.
Mobile Phone No.
Fax No.
Email
:: Registration & Payment Information
Registration Rate
Discount Voucher Code
Choice of Food
Payment Mode *
:: Sponsor's Particulars   (Program recommended to you by)
Recommended By
Contact No.