First Name:Last Name:Gender: Please Select Male Female

Participant

First name:Last name:Gender: Please selectMaleFemale

DATE OF BIRTH: Nationality: COUNTRY OF RESIDENCE:

Job title:SECTOR: YEARS OF PROF. EXPERIENCE:

Company: Education: Please selectDiplomaBachelor's DegreeMaster's DegreePhD Other:

E-mail:Phone number (incl. country code):

DOWE KNOW YOU ALREADY?Please selectI am an HEC Paris Participant/ Alumnus/aPrevious HEC Paris company program participantPrevious open-enrolment program participantThis is my first contact with HEC Parisplease state the program:

if youPAY FOR the program yourself, please mention yourINVOICING address

street / Po box / City / Country:

Company / Organization information

Companyname:

please indicate if the company belongs to a larger group:

Address (street / PO BOX / City):Country:

Phone number (incl. country code):E-mail:

IF YOU ARE TOTALLY OR PARTIALLY FUNDED BY YOUR COMPANY:

Business Registration N°

Name and position of the legal representative:

Name of invoicing contact person:

E-mail of invoicing contact person:

Invoicing address (if different from registered office):

Name of the person responsible for sponsoring your program:

Job title:Tel: E-mail:
Address (if different from the one above)street / PC / City / Country:

Name of the Training Advisor:
Phone number:E-mail

Name of the Human Ressources Manager:
Phone number:E-mail:

Program you wish to register for

Program title & Tuition Fees:Please selectMarketing Through Social Media - US$2195

Where did you find out about this program?Please selectE-mail received from HEC ParisLinkedinOther Social Network (Twitter...)Internet Search Engine (Google, Yahoo...)HEC Paris websiteFrom the HR department of your companyFrom an HEC Paris Alumnus/a or ParticipantOther - From your networkAdvertising on InternetAdvertising in newspaper / magazineFair/ ConferenceRankingOtherOther:

Please read carefully through all the information below.

CERTIFICATES:

Certificates can only be issued upon full attendance of the program.

INVOICING:

Course fees will be invoiced by Qatar Foundation no sooner than 10 days after signature of this enrolment acceptance form by the participant. Total Invoiced Amount will be in Qatar Riyals at the exchange rate of $1 = 3.65 QAR. All sums are not subject to sales tax (in accordance with the terms of Article 256B of the French General Tax Code).

PAYMENT DETAILS:

-Payment by check (from a bank within Qatar only) sent to Qatar Foundation, Finance Directorate, PC4, PO Box 5825, Doha, Qatar

-Wire transfer: Qatar Foundation, acct. no. 0013 024171 001 , Qatar National Bank, Corporate Branch, Doha, Qatar

SWIFT: QNBAQAQA, including the invoice number, HEC-Q and the course name.

IBAN No: QA19 QNBA 0000 0000 0013 0241 7100 1

SWIFT copy must be provided to QF Finance to process receipt of payment.

Payment inquiries: Stefani Schulz, +974 44546342,

TERMINATION CLAUSE: Should this agreement be terminated by the participant or the participant’s company less than 15 business days before the start of the course neither the company nor the individual will be eligible for a refund.

CANCELLATION:HEC Paris may cancel the program at any time, in which case payments received shall be refunded.

SETTLEMENT OF DISPUTES: If any dispute or difference of opinion should arise on the occasion of the execution of the agreement, the dis-satisfied party will send the other party a registered letter with acknowledgement of receipt describing the difficulties encountered. Upon receipt of the said letter, the other party shall have a period of 15 days during which to reply by registered letter with acknowledgement of receipt. Failing a reply, or if the disagreement should not be settled, each of the parties may refer the matter to the competent judge. The competent court in any disputes arising from the present contract is the Court of Paris and the applicable law is French law.

Name of participant or Sponsor:

Date, signature and company stamp:

HEC Paris in Qatar

Tornado Tower, West Bay

PO Box 5825

DOHA, QATAR