Registration Form - Bahrain Institute of Banking and
Transcription
Registration Form - Bahrain Institute of Banking and
Registration Form Diploma of the Chartered Insurance Institute (CII) Arabic Self Sponsored Organisation Sponsored Self 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 *Nationality *CPR Address Organisation Office Tel Fax *Signature & Stamp Country Email Date Name of the Participant Mr/Mrs/Ms First Name Middle Name Position *Nationality *Email (Personal) Last Name Department *Date of Birth *CPR *Mobile Email (Work) Office Tel 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. CANCELLATION AND REFUND OF FEES : In the case of cancellations by delegates, fees will only be refunded if a written notice of cancellation is received by the Institute. Fees will be fully refunded for cancellations up to one week before the commencement of class; and a no fee refund if cancellation is after the class commencement. ATTENDANCE POLICY : A minimum of 80% classroom attendance is compulsory in order for participants to sit the final examination. Unit Code Unit Name Unit Cost (Preparation classes, study material and examination fees) W02 Award in General Insurance BHD 500 P05 Insurance Law BHD 600 595 Principles of Takaful BHD 550 P94A Motor Insurance BHD 450 P92A Insurance Business & Finance BHD 600 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 FOR BIBF OFFICE USE 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 Fax : +973 17 729928 / 17916420 Email : [email protected]