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Welding and Testing Symbols - Institution of Engineers Singapore

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Registration Form<br />

MODULE 4 – WELDING TESTING & NDT SYMBOLS<br />

Date : 11 January 2010<br />

Time : 7pm to 10pm<br />

Venue : SMU@SESS, 90 Stamford Road (178903)<br />

Fees * : $110.00 (IES Members) $130.00 (Non-Members)<br />

Please register online/mail/fax the completed form by 29 December 2009 Before 5pm to:<br />

Participant Details<br />

Address: IES Academy<br />

70 Bukit Tinggi Road,<br />

IES Building,<br />

<strong>Singapore</strong> 289758.<br />

(Tel) 6463 9211 (Fax) 6463 9468<br />

Name : NRIC : ______________<br />

Company : Designation:<br />

Address : __________________________________<br />

Postal Code : __________________________________ Sex : __________Male / Female___________<br />

Tel : Fax : _________________________________<br />

Email :<br />

Please indicate : IES members IES M’ship No.: P.E. No.: ___________________ (if applicable)<br />

Non-members<br />

Sponsored by company<br />

Date : Signature :<br />

Contact Person Details (if different from participant)<br />

Name : Designation: ________________________________<br />

Tel : Fax: ________________________________<br />

Email :<br />

Payment Details<br />

Bank / Cheque No.: Amount ($): ___<br />

* All Fees are inclusive <strong>of</strong> 7 % GST.<br />

Cheque should be made payable to: “<strong>Institution</strong> <strong>of</strong> <strong>Engineers</strong>, <strong>Singapore</strong>” or “IES”.<br />

Acceptance <strong>of</strong> Terms <strong>and</strong> Conditions for Registrations <strong>of</strong> IES Academy’s Events<br />

I agree to abide by the Terms <strong>and</strong> Conditions for Registration <strong>of</strong> IES Academy’s Events.<br />

Name : _______________ ___ Signature:

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