Agents Convention - The Malaysian Insurance Institute
Agents Convention - The Malaysian Insurance Institute
Agents Convention - The Malaysian Insurance Institute
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General <strong>Insurance</strong><br />
<strong>Agents</strong> <strong>Convention</strong><br />
10 October 2013, Kuala Lumpur<br />
Register now<br />
* <strong>The</strong> CPD points awarded subject to full-day attendance<br />
Registration Fees<br />
RM 250 per pax<br />
(Inslusive of Lunch/Refreshment & <strong>Convention</strong> Kit)<br />
Organised By<br />
Customers of the 21st Century<br />
Supported by<br />
FEATURING<br />
CEO’s Forum<br />
Regulator up-dates<br />
Opportunities Up-dates<br />
Market Up-dates<br />
Motivational talk<br />
General <strong>Insurance</strong> Association<br />
of Malaysia (PIAM)<br />
WHO SHOULD ATTEND<br />
General <strong>Insurance</strong> <strong>Agents</strong><br />
Takaful <strong>Agents</strong><br />
Sales & Marketing Personnel<br />
Agency Office / Employees<br />
Banking and Financial Services<br />
All Interested Parties<br />
COMPLIMENTARY<br />
ACTIVITIES<br />
Exhibitions<br />
Lucky Draws<br />
For more information and to register, please call +603 2087 8882 or<br />
email sales@mii.org.my<br />
Azizi (ext 317 / azizi@mii.org.my), Shawal (ext 321 / shawal@mii.org.my)<br />
Fazlan (ext 264 / fazlan@mii.org.my), Mazrul (ext 263 / mazrul@mii.org.my)<br />
Please visit insurance.com.my for latest up-date
General <strong>Insurance</strong><br />
<strong>Agents</strong> <strong>Convention</strong><br />
10 October 2013, Kuala Lumpur<br />
Customers of the 21st Century<br />
Organised By<br />
REGISTRATION FORM<br />
Supported by<br />
General <strong>Insurance</strong> Association<br />
of Malaysia (PIAM)<br />
Registration Fees<br />
RM 250 per pax<br />
(Inslusive of Lunch/Refreshment & <strong>Convention</strong> Kit)<br />
Programme Schedule :<br />
8.00 a.m - 9.00 a.m (Registration)<br />
9.00 a.m - 5.00 p.m (Seminar)<br />
A. Company / Organization Details<br />
Name of Company / Organization :_________________________________________________________________________________________________<br />
Address :______________________________________________________________________________________________________________________<br />
Name of Contact Person : Mr / Ms :__________________________________________________________________________________________________<br />
Tel :______________________________ Fax :______________________________ Email :__________________________________________________<br />
B. Participant Details (Note : If the space provided is inadequate, you may attach details of your additional participants in separate list)<br />
1. Mr/Ms :_____________________________________________ NRIC No / Passport No: ____________________________________<br />
Email :______________________________________________ Designation : ____________________________________________ Vegetarian<br />
2. Mr/Ms :_____________________________________________ NRIC No / Passport No: ____________________________________<br />
Email :______________________________________________ Designation : ____________________________________________ Vegetarian<br />
3. Mr/Ms :_____________________________________________ NRIC No / Passport No: ____________________________________<br />
Email :______________________________________________ Designation : ____________________________________________ Vegetarian<br />
4. Mr/Ms :_____________________________________________ NRIC No / Passport No: ____________________________________<br />
Email :______________________________________________ Designation : ____________________________________________ Vegetarian<br />
5. Mr/Ms :_____________________________________________ NRIC No / Passport No: ____________________________________<br />
Email :______________________________________________ Designation : ____________________________________________ Vegetarian<br />
PAYMENT OPTIONS (Please tick (√) method of payment)<br />
Cash Payment<br />
Enclosed is a Bankdraft / Money Order no. for RM___________ made payable to the <strong>Malaysian</strong> <strong>Insurance</strong> <strong>Institute</strong>.<br />
Direct Bank In to MII account : 2-64160-00004670<br />
RHB Bank Bhd, Lot No G-01, Ground Floor, Bangsar Shopping Centre Office Tower Jalan Maarof, Bangsar, 59100 Kuala Lumpur, Malaysia.<br />
Telegraphic Transfer in USD to MII account : 6-14165-00000321<br />
RHB Bank Bhd, Lot No G-D1, Ground Floor, Bangsar Shopping Centre Office Tower Jalan Maarof, Bangsar, 59100 Kuala Lumpur, Malaysia.<br />
Please charge RM ________________to my credit card. VISA MASTER<br />
Card number :<br />
Expiry date : ________________<br />
Cardholder’s signature : __________________<br />
Note :<br />
1. Payment to be made payable to “<strong>The</strong> <strong>Malaysian</strong> <strong>Insurance</strong> <strong>Institute</strong>” 30 days before the commencement of the programme.<br />
2. Participants will not be registered for the programme until payment is received.<br />
3. We wish to inform that MII does not accept personal cheques.<br />
Transaction Code : CUO3G1AC4613<br />
4 Easy Ways to Register<br />
Telephone : (+603-2087 8882) ext 317 / 321 / 264<br />
Fax : Complete and send the registration form to (+603-2093 9282)<br />
/ (+603-2093 9794)<br />
Mail this completed form to :<br />
<strong>The</strong> <strong>Malaysian</strong> <strong>Insurance</strong> <strong>Institute</strong><br />
General <strong>Insurance</strong> Training & Conference<br />
No. 5 Jalan Sri Semantan Satu, Damansara Heights,<br />
50490 Kuala Lumpur, Malaysia<br />
Email : sales@mii.org.my
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