Registration Form HRDF AND TRAINERS’ Conference & Exhibition,

27 - 29 November 2017, Kuala Lumpur Convention Centre (KLCC)

Conference Packages Trainers’ Conference HRDF Conference & Combo Package
2017 Exhibition 2017 Trainers’ Conference 2017 + HRDF
(27 Nov. 2017) (28-29 Nov. 2017) Conference & Exhibition 2017
(27-29 Nov. 2017)
Early Bird Registration (Before 30 September [ ] RM 750.00 [ ] RM 1500.00 [ ] RM 2150.00
2017)
Group - Early Bird Registration (Before 30 [ ] RM 750.00 [ ] RM 1350.00 [ ] RM 2100.00
September 2017) * Minimum 3 pax
Government [ ] RM 750.00 [ ] RM 1300.00 [ ] RM 2050.00
Student [ ] RM 750.00 [ ] RM 750.00 [ ] RM 1500.00

PARTICIPANTS LIST
.P
Distance To
No Name I/C / Passport No. Designation Email Vegetarian(/)
Conference Venue
1 [ ] > 70KM [ ] < 70KM

2 [ ] > 70KM [ ] < 70KM

3 [ ] > 70KM [ ] < 70KM

4 [ ] > 70KM [ ] < 70KM

5 [ ] > 70KM [ ] < 70KM

6 [ ] > 70KM [ ] < 70KM

7 [ ] > 70KM [ ] < 70KM

8 [ ] > 70KM [ ] < 70KM

ORGANISATION DETAILS

Contact Person
Organisation
Address

Telephone Mobile Phone

Fax
Email

FOR HRDF REGISTERED EMPLOYER PAYMENT INFORMATION (TO BE FILLED BY

AUTHORISATION FOR LEVY DEDUCTION INDIVIDUAL OR NON-HRDF REGISTERED EMPLOYER)

I declare that the participant(s) listed above are employee(s) of our Payment Instruction
company. 1. Conference fee must be paid in advance prior to the
event.
I, …………………………….. (name) hereby agree that the 2. Payment via cheque should be crossed and made
payable to “PEMBANGUNAN SUMBER MANUSIA
conference fee amounting to RM ………………. (Ringgit Malaysia : BERHAD”
3. Payment must be banked in to PBB Bank account
……………………………………………..) is to be debited from our number 39990 60003.
levy account. In the event above-mentioned participants fail to 4. Registration form must be submitted together with
attend, PSMB reserves the right to debit the above fee. proof of payment.
5. For government officials, registration form must be
Signature : ………………………….. submitted together with local order or letter of
approval.
Name : …………………………..
6. For overseas delegation please email us for
Designation * : ………………………….. payment arrangement.
Payment Details (Please specify)
Date : …………………………..
[ ] Cheque Number / Bank ……….…………….
MyCoID : ………………………….. [ ] Cash (RM) ………….…………………………
*(Chairman / General Manager / Manager / Executive) *Delete where inapplicable. [ ] LO/Letter of Approval .……………………….
Note : Confirmation of registration is upon received or cheque clearance

Substitution or cancellation PLEASE EMAIL THIS FORM TO :

REGISTRTION INFORMATION
Only allowed before the issuance of confirmation letter and request must EN SURAN (suran@hrdf.com.my), PN ZAINON(zainon@hrdf.com.my),
be made via mail, e-mail or fax to organizer before 15 October 2017.  Normal Registration fee is RM1166 per participant
PN SITIinclusive
ROGAYAH(rogayah@hrdf.com.my)
6% GST.
Any changes after the deadline will not be entertained.  Registration with 3 or more participants RM1107.70 per
The Human Resources
participant Development
inclusive Fund (HRDF)
6% GST minimum 3 pax.
Acceptance will be on first come first serve basis.  Beringin,
EmployersDamansara
who registered with PSMB are allowed to claim
Wisma HRDF, Jalan Heights, 50490, Kuala Lumpur
Attire
for airfare and daily allowance for 3 days inclusive of the
Business / Fomal day 03-2096
Tel: before the4811
conference.
/ 4812 / 4813
SUBSTITUTION OR CANCELLATION
 Only allowed before the issuance of confirmation letter and
request must be made via mail, email or fax to organiser