Registration Form - Workinfo.com Workshops 2007 Shani Cullabine

Workplace Performance Technologies (Pty) LtdReg. No. 98 01552/07Vat Reg. No. 4450172582Registration Form - Workinfo.comWorkshops 2007PO Box 925 LanseriaGauteng South Africa 1748322 Kent Avenue, Kent Place, 3 rd Floor West Wing,RandburgTel : [011] 781 4228Fax: [011] 507 6173Email: radwat@global.co.zaURL http://www.workinfo.comURL http://www.caselaw.co.zaShani Cullabineshani@workinfo.comTel: 011-462 5912Cell: 082 056 0208Fax: 086 689 7210Please indicate which workshop(s) you wish to attendPLEASE COMPLETE THE REGISTRATION FORMEmployment Equity Workshop (2 days) - Public Workshop1 & 2 March 2007 (Johannesburg)19 & 20 April 2007 (Johannesburg)Delegates receive a comprehensive electronic copy of the Workinfo.com Employment Equity ImplementationManual worth R1,700.00Workforce and Succession Planning (2 days) - Public Workshop8 & 9 March 2007 (Johannesburg)25 & 26 April 2007 (Johannesburg)Delegates receive a comprehensive electronic copy of the Workinfo.com Workforce and Succession PlanningManual worth R1,700.00Would you like to attend :- An open workshop (with delegates from other companies) A closed in-house workshop (all delegates are from your company only)Dates and VenuesOn receipt of your Registration Form, we will contact you to confirm available dates and venues. Your booking willonly be confirmed on being issued with an Invoice confirming the number of delegates and dates & venue for theworkshop. Our schedule of currently confirmed dates is attached hereto.Dates and venues for in-house workshops will be arranged directly with the principal delegate.Workshop materialsAll workshops are held over two full days. All delegates will receive a comprehensive workbook, PowerPointpresentations and handouts. The costs of materials are included in the registration fee.

Registration fee:We will forward a quotation to you to confirm the costs associated with the courses selected above.• In-house courses are subject to quotationFee per delegateR4 360.00 per delegate (excluding VAT)R4,970.40 per delegate (VAT Inclusive)Included in the fees• Course material• Parking• Refreshments• Lunch• Certificate of AttendancePlease note• Training is conducted with extensive use of questionnaires, case studies, exercises, role-plays and atraining video.• Delegates are also supplied with a course workbook, which serves as a "job aid" when back on the job andinvolved in recruitment.• Delegates are encouraged to attend the course with their laptops / notebooks.Enquiries & RegistrationEnquiries:Shani Cullabineshani@workinfo.comTel: 011-462 5912Cell: 082 056 0208Fax: 086 689 7210Registration forms:Please complete the form below, or a copy thereof, and fax or E-mail it to Shani Cullabine on (011) 507 6173;shani@workinfo.comPayment: Payment in full to be received within 7 days of date of invoice.Duration - Two day workshopDay 1 Registrations: 08:00 - 08:30 Workshop: 08:30 - 17:00 Lunch: 13:00 - 14:00 Tea Breaks: 11:00 - 11:20 / 15:00 - 15:30Day 2 Workshop: 08:30 - 17:00 Lunch: 13:00 - 14:00 Tea Breaks: 11:00 - 11:20 / 15:00 - 15:30

To avoid Johannesburg traffic congestions and Guatrain developments, the workshop will be held at the IndabaHotel, FourwaysCancellations / PostponementsALL BOOKINGS ARE CONFIRMED TELEPHONICALLY AND DELEGATES WILL BE ISSUED WITH A VAT INVOICECONFIRMING THEIR RESERVATION.You may substitute delegates at any time in writing. For any cancellations received in writing from delegates /companies 8 (eight) working days before a workshop / seminar / conference we will issue a 100% credit for thevalue paid, to be used towards any future event, up to one year of date of issue. There will be no credits issued todelegates / companies for cancellations received within 7 working days of an event. 'No shows' on the day will notbe treated as cancellations and no credit will be issued. This clause also applies where we have received yourregistration form, invoiced you and are still awaiting your payment. This programme and content have beenconfirmed at time of publishing. Circumstances beyond the organisers control may necessitate substitutions,alterations, cancellation or postponement of an event. Should an event be cancelled / postponed, IIL will issue a100% credit for the value paid, to be used towards any future IIL event, up to one year of date of issue. No refundswill be made. Changes to the programme (e.g. content/topics, facilitators, venue) are at the discretion of theevent organisers. We are not responsible for any loss or damage incurred, as a result of such changes orcancellation / postponement of an event. All rights reserved.Registration Form - 2007Registration forms: Please complete the form below, or a copy thereof, and fax or E-mail it to Shani Cullabine on(011) 507 6173; shani@workinfo.comPlease indicate which registration option you have chosen:Organisation: ___________________________________________________________________________Postal address: ________________________________________________________Code: ____________Contact person: _________________________________________________________________________Tel.: __________________Fax: ____________________E-Mail___________________________________Name & Surname Designation Delegate(s) e-mail address1. ______________________ _______________________________ ______________________________2. ______________________ _______________________________ ______________________________3. ______________________ _______________________________ ______________________________4. ______________________ _______________________________ ______________________________5. ______________________ _______________________________ ______________________________6. ______________________ _______________________________ ______________________________7. ______________________ _______________________________ ______________________________8. ______________________ _______________________________ ______________________________9. ______________________ _______________________________ ______________________________10. ______________________ _______________________________ ______________________________11. ______________________ _______________________________ ______________________________12. ______________________ _______________________________ ______________________________13. ______________________ _______________________________ ______________________________14. ______________________ _______________________________ ______________________________15. ______________________ _______________________________ ______________________________16. ______________________ _______________________________ ______________________________

17. ______________________ _______________________________ ______________________________18. ______________________ _______________________________ ______________________________19. ______________________ _______________________________ ______________________________20. ______________________ _______________________________ ______________________________Special dietary requirements: _______________________________________________________________I acknowledge that I have read and understood all the terms and conditions of my registration.Date: _____________________ Signature: _____________________ Position: _________________________________PLEASE COMPLETE THE REGISTRATION FORM AND RETURN TOFACSIMILE – 011 507 6173EMAIL: SHANI@WORKINFO.COM