Welding and Testing Symbols - Institution of Engineers Singapore

Registration Form
MODULE 4 – WELDING TESTING & NDT SYMBOLS
Date : 11 January 2010
Time : 7pm to 10pm
Venue : SMU@SESS, 90 Stamford Road (178903)
Fees * : $110.00 (IES Members) $130.00 (Non-Members)
Please register online/mail/fax the completed form by 29 December 2009 Before 5pm to:
Participant Details
Address: IES Academy
70 Bukit Tinggi Road,
IES Building,
Singapore 289758.
(Tel) 6463 9211 (Fax) 6463 9468
Name : NRIC : ______________
Company : Designation:
Address : __________________________________
Postal Code : __________________________________ Sex : __________Male / Female___________
Tel : Fax : _________________________________
Email :
Please indicate : IES members IES M’ship No.: P.E. No.: ___________________ (if applicable)
Non-members
Sponsored by company
Date : Signature :
Contact Person Details (if different from participant)
Name : Designation: ________________________________
Tel : Fax: ________________________________
Email :
Payment Details
Bank / Cheque No.: Amount ($): ___
* All Fees are inclusive of 7 % GST.
Cheque should be made payable to: “Institution of Engineers, Singapore” or “IES”.
Acceptance of Terms and Conditions for Registrations of IES Academy’s Events
I agree to abide by the Terms and Conditions for Registration of IES Academy’s Events.
Name : _______________ ___ Signature: