APSC Mission and Exhibition Cambodia 2011 Registration Form

REGISTRATION FORM
Jointly Organised by:
Cambodia Education Mission and Exhibition
02- 05 September 2011
Phnom Penh, Cambodia
Participation Fees
Delegate Fee:
SGD$2800.00 per delegate (APSC Member)
SGD$3000.00 per delegate (Non-APSC Member)
(Payment accepted in Singapore Dollars Only)
Fee Includes
• Invitation to Cocktail Reception-cum-Networking on 02 September 2011
• Airport/Land Transfer
• Hotel Accommodation
• Hiring of exhibition hall
• Engagement of interpreters
• Publicity
Closing Date for Registration: 01 August 2011
Note:
Seats are limited and registration will be on a first-come first-served basis.
Enquiries
For enquiries, please contact the Secretariat at:
Email : secretariat@apsc.org.sg
Or
Ms Amy Heng
Tel : +65 63708841 / +65 6351 7870 / +65 9017 4216
Email : amy_heng@apsc.org.sg
APSC Cambodia Education Mission and Exhibition 2011 – Registration Form
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DELEGATE REGISTRATION FORM hghghghhghghghghh
DELEGATE INFORMATION
(Please tick as appropriate)
Salutation: Dr □
Prof □ Mr □ Mrs □ Mdm □ Ms □
□ APSC Member □ Non- APSC member
As in NRIC/Passport
Last Name _________________________________________ First Name _________________________
____
Name to appear on Badge (max. of 20 characters) _______________________________________________________
Job Title / Designation__________________________
Company _________________________________________
COMPANY’S ADDRESS
Street
________________________________________________________________________________________
Postal / Zip Code___________________________
Country ________________________________________
Tel (Country Code)________________________________________________________________________________
Fax (Country Code) (optional field)____________________________________________________________________
Email______________________________________
Mobile Phone (optional field)__________________________
Kindly provide the following details to us to facilitate the confirmation of your participation:
Business Registration Number______________________
_______________________________________________
Corporate Write-Up plus Products/ Services offered (50 words max)
In English:_______________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
CONTACT PERSON’S INFORMATION: NEXT-OF-KIN (OPTIONAL)
Salutation: Dr □ Prof □ Mr □ Mrs □ Mdm □ Ms □ (please tick)
Last Name________________________________________________________________________________________
First & Middle Name_________________________________________________________________________________
Tel (Country Code)_____________________________
Mobile No___________________________________
Email_____________________________________________________________________________________________
_
APSC Cambodia Education Mission and Exhibition 2011 – Registration Form
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DELEGATE REGISTRATION FORM hghghghhghghghghh
Which of the business meetings would you be interested in attending during the Exhibition
(Please number in order of preference with 1 being the most preferred and 2 being the least preferred)
Session I Business Meeting with institutions □
Session II Business Meeting with consultants □
Note: We shall, to the best of our ability, assign the business meetings of your choice to you. However, under certain
circumstances, we may not be able to accede to your request for the most preferred session. We thank you for your
understanding in this regards.
Travel and Accommodation- International Delegates
For overseas delegates that require assistance with their travel and accommodation, please contact the Secretariat at
secretariat@apsc.org.sg.
For further enquiries, please contact:
Ms Amy Heng
APSC
98 Henderson Road
Singapore 159543
Tel: (65) 63708841/63517870/90174216
Fax: (65) 62561550
PAYMENT SELECTION
Payment by Cheque – For Singapore Delegates Only
Cheque should be made payable to ‘Association of Private Schools and Colleges Singapore’. Please mail your cheque to
the Association of Private Schools and Colleges Singapore, 98 Henderson Road, Singapore 159543.
Payment by Telegraphic Transfer (TT) – International Delegates
TT to be made in favour of the ‘Association of Private Schools and Colleges Singapore’.
APSC’s banking details for TT are as follows:
Organisation Name: Association of Private Schools and Colleges Singapore
Beneficiary : Association of Private Schools and Colleges Singapore
Name of the Bank : United Overseas Bank King George’s
Blk 803 King George’s Ave, #01-242/244Singapore 200803
Account No : 332-300-459-3
Swift Code : UOVBSGSG
Bank Code : 7375
Branch Code : 332
APSC Cambodia Education Mission and Exhibition 2011 – Registration Form
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Please send the completed form by fax or post to along with the payment to:
Association of Private Schools and Colleges Singapore
98 Henderson Road, Singapore 159543
Tel: +65 63708841/63517870 Fax: + 65 6256 1550
Attn: Ms. Amy Heng
TERMS AND CONDITIONS:
• The Participation fee is not inclusive of prevailing Singapore Goods & Service Tax.
• This is an exclusive Mission and Exhibition and seats are limited. Early registration is strongly encouraged.
• Delegates will be notified of the confirmation of their registration after their form has been processed and payment received.
• Delegates who have not paid are advised to fulfill the payment terms within two (2) weeks from the time of registration or no
later than the closing date. An email acknowledgement will be sent to the delegate upon receipt of payment. There will be no
refund once registration is confirmed.
• All delegates must print and bring along their ‘Confirmation Note’ to collect their official delegate kit and badge.
• All forms of booking are subjected to the terms and conditions stipulated by the Organisers.
• Kindly note that any personal information provided as part of exhibition registration will only be used for the purpose it has been
provided for. It will not be passed on to other organisations unless this has been made explicit at the time the registrant supplies
the information. However, this information may be used by the organisers for notifying delegates of future conferences and of
any publications emerging from, or related to, this event.
_ __________ ____________________________ ______________________________
Delegate’s Signature
Date
THANK YOU FOR YOUR REGISTRATION! WE LOOK FORWARD TO SEEING YOU AT APSC’S MISSION & EXHIBITION 2011
APSC Cambodia Education Mission and Exhibition 2011 – Registration Form
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