Scribd Logo
Upload

Welcome to Scribd!

  • ARW Registration Form

    Uploaded by

    Chamali Maddumagamage
    45 views2 pages
    This document is a registration form for the Asia Remittances Workshop 2011. It requests contact information such as name, affiliation, address, and special requirements. It provides registration options for local and foreign participants for one, two, or three days of participation. It lists the dates of the workshop and requests the dates of attendance. It provides instructions for payment including payment mode, payee information, and notification instructions including faxing the registration form and bank slip.

    Original Description:

    Registration form for the Asia Remittances Workshop -2011

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a registration form for the Asia Remittances Workshop 2011. It requests contact information such as name, affiliation, address, and special requirements. It provides registration options for local and foreign participants for one, two, or three days of participation. It lists the dates of the workshop and requests the dates of attendance. It provides instructions for payment including payment mode, payee information, and notification instructions including faxing the registration form and bank slip.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    45 views2 pages

    ARW Registration Form

    Uploaded by

    Chamali Maddumagamage
    This document is a registration form for the Asia Remittances Workshop 2011. It requests contact information such as name, affiliation, address, and special requirements. It provides registration options for local and foreign participants for one, two, or three days of participation. It lists the dates of the workshop and requests the dates of attendance. It provides instructions for payment including payment mode, payee information, and notification instructions including faxing the registration form and bank slip.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    Asia Remittances Workshop 2011- Registration Form

    Contact information

    *all fields marked with a star are required for registration

    Title : Mr./ Ms./ Dr. /Prof

    *First Name :……………………………………………………………………..…………………………………………………..

    * Last Name :………………………………………………………………………………………………………………………..…

    *Name to appear on tag:……………………………………………………………………………………………………………

    * Affiliation :…………………………………………………………………………………………………………………………..

    Position :……………………………………………………………………………………………………………………………

    *Adress :…………………………………………………………………………………………………………………………..

    ……………………………………………………………………………………………………………………………

    *City :…………………………………………………………………………………………………………………………..

    *Country :…………………………………………………………………………………………………………………………..

    *Postal Code/ Zip code:…………………………………………………………………………………………………………..…

    *Contact Telephone:……………………………………………………………………………………………………………………

    Fax :……………………………………………………………………………………………………………………………

    Mobile Phone :……………………………………………………………………………………………………………………………

    *Email :……………………………………………………………………………………………………………………………

    Special Requirements
    (Dietary/Allergies/Mobility/Other):……………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………
    Asia Remittances Workshop 2011- Registration Form

    Registration Options

    Local participants Foreign


    participants

    For participation in one day Rs. 15, 000 USD 300

    For participation in any two Rs. 25, 000 USD 400


    days

    For full participation Rs. 28, 500 USD 500

    Date/Dates attending (Please mark your preference)

    • 11th January

    • 12th January
    -Field Excursion
    -Workshop

    • 13th January

    An email message confirming receipt of payment will be sent to the address provided above.
    Please bring the confirmation message with you to the registration desk to facilitate the
    registration process. Places in the workshop will not be held without payment of the
    registration fee.

    Mode of Payment

    o By cheque or bank draft

    Please make your cheques or draft payable to: External Expert Panel

    Bank Name : Commercial Bank, Moratuwa, Sri Lanka

    Account Number : 15 900 26 576

    Notification
    Please fax both the registration form and bank slip to the following fax number

    You might also like