PT DQS Certification Indonesia

TRAINING REGISTRATION FORM

Course Name : ______

Course Location/Date : ______

Company Name : ______

Company Address : ______

Tel : ______Fax : ______Email : ______

Name of Authorized
Person : / Company Stamp/Seal:
Position :
Authorized Signatory :
Date :

Details of participant(s) : please copy this form for more than 4 delegate

1. Name : ______Position : ______Email : ______

2. Name : ______Position : ______Email : ______

3. Name : ______Position : ______Email : ______

4. Name : ______Position : ______Email : ______

Note :

a)  The fees include set of delegate’s manual, all lunches and tea breaks (am/pm) & Training Certificates.

b)  The fees do not include hotel accommodation (reservation can be arranged by us).

c)  Group discount : Groups of 4 or more bookings at the same time from the same company and from the same billing source will receive 10% discount on the total delegate fees.

d)  Payment is required with registration and must be received 14 days prior to the training date to confirm your place.

e)  Confirmation will be sent via email or fax.

f)  Organizer reserves the right to make any amendments that it deems to be in the interest of the conference without prior notice.

g)  Should you be unable to attend, a substitute delegate is welcome. A refund of 50% of the training fees will be made for cancellation received less than 7 working days before the course or for “no show” participant. However, a set of document will be sent to you.

Payment Details (All payment made payable to “PT. DQS Certification Indonesia). You may send to our office at Aldevco Building II 3rd Floor , Jl. Warung Buncit Raya No. 75 Jakarta 12740.

Payment Method:

Bank Transfer / Cash on arrival (Delete where appropriate)

Payment Transfer :

PT. DQS Certification Indonesia Cash:

Bank Danamon – Cabang Warung Buncit Rp.______

A/C : 005 – 773 - 0012

Should you have any doubt, please contact ISTI at 021 7983667 / 7983709 fax. 021 7941183 or 0813 800 41192 email at :

Registration Form