Registration Form ROI Training

Registration Form
ROI Training
Self Sponsored
Self Sponsored
Organisation Sponsored
Name of Participant
Mr/Mrs/Ms
First Name Middle Name
Position
Last Name
Department
Organisation
*Nationality
*Date of birth
*CPR
*Address
*Country
Office Tel
*Mobile
Residence Tel
Fax
*Email (Personal)
Email (Work)
*Signature
Date
Organisation Sponsored
Organisation
Information
Contact Person :
Mr/Mrs/Ms
First Name Position
Middle Name
Last Name
Department
Address
Organisation
Office Tel
Fax
Signature & Stamp
Country
Email
Date
Name of the Participant
Mr/Mrs/Ms
First Name Middle Name
Position
*Nationality
*Mobile
*Email (Personal)
Note : (*) Mandatory fields
Last Name
Department
Date of birth
*CPR
Office Tel
Email (Work)
Methods of Payment
Cheque P lease find enclosed a cheque for
or Credit card Please debit my credit card
Visa
Card No.
made payable to BIBF.
Mastercard
Expiry Date
Cardholder’s Name
Signature
Cash
IMPORTANT NOTICE :
All courses are subject to demand. The Institute reserves the right to cancel or postpone courses at short notice at no loss or liability where, in its absolute
discretion, it deems this necessary.
FOR OFFICE ONLY
INFORMATION DESK
Receipt Number
AmountDate
Comments
Information Desk Attendant Signature
REGISTRATION OFFICE
Student ID
Registered By Date Comments
Please forward this form with course fee to: The Registrar, BIBF, PO Box 20525, Manama, Kingdom of Bahrain
Tel : +973 17 815555 / 17 815581 / 17 815579
Fax : +973 17 729928 / 17916420
Email : [email protected]