REGISTRATION FORM

NFEC FIRE SAFETY SEMINAR 2016

Tuesday, 16August 2016, 0800hrs-1730hrs

Marina Bay Sands Convention Centre, Peony Ballroom, Level 4,

10 Bayfront Avenue, Singapore 018956

This is to confirm that ______(company/building) from the *Commercial / Industrial sector will be participating in the NFEC Fire Safety and Civil Emergency Preparedness Seminar 2016.*Please delete accordingly. (Please leave blank for individual.)

The company will be represented by(please use a separate paper if there are additional participants):

NAME

/ NRIC NO / DESIGNATION / WSHO (Yes/No) / *FSMAS/SISO/A-CERT Membership No.
(if applicable)
1
2

*Membership denotes any of the following organisations listed below and NOT the FSM or WSHOregistration number.

FSMAS: Fire Safety Managers Association of Singapore

SISO: Singapore Institution of Safety Officers

A-CERT: Association of Company Emergency Response Teams (Singapore)

SHA: Singapore Hotels Association

Enclosed is our cheque no. ______from ______(Bank) for S$ ______(S$190 nett per person for members and S$230 nett per person for non-members) payable to “NFEC” for the above event. For cash payment, please visit the NFEC office at the following address:

NFEC Office, Central Fire Station, 62 Hill Street, Singapore 179367

Opening hours: *9am – 12pm and 2pm – 5pm *(Monday to Friday except public holiday)

Contact No: *6332 3178 / 6332 3179*(Please call before coming down to make payment)

CONTACT PERSON(to be completed):
Name: / Designation:
Tel: / Fax:
E-mail: / Date:
Mailing Address:

Please complete this registration form and send it to NFEC Office by the following:

Email:

Fax: 6286 0073

Mail: NFEC Office, Central Fire Station, 62 Hill Street, Singapore 179367

Closing date for registration and payment: 5August 2016

Important Notes:

Confirmation of seat(s) will only be given upon receipt of payment and will be acknowledged thru email.Official receipt will be issued for cheque and cash payment. Registration form received after the closing datewill be rejected. Complimentary parking coupon will be provided.