Registration form 2016 hipf short course

Page 1

Registration Form • • •

Due to the limited seats (max 25 participants) in one training session, first come-first serve registration policy be implemented. Registration and payment must be received before the course starts to confirm your participation. Refund on cancellation is not possible; however you may register for a future session or send a substitute participant.

Dear Program Coordinator, Please register our staff as per the details below: Course Title: Course Date: Company

:

Tel

:

Address

:

Fax

:

E-mail: SN.

Name of Participant(s)

Position

Mobile No.

Email

1. 2. 3. 4. 5. 6. Note: (Please use separate sheet if necessary) We are pleased to send the cheque or cash transfer of SR. ___________ in the name of “Higher Institute for Plastics Fabrication”, Alrajhi Bank, Rawdah Branch, A/C No. 204608010405508 & IBAN No. SA4880000204608010405508.

Approved by: ______________________ (Authorize Signature)

(Company stamp)

HIPF Confirmation:

*E-mail:

w.rapsing@hipf.edu.sa

*Tel. +966-11-4989600

*Fax

: + 966 -11-4989650

Higher Institute for Plastics Fabrication 160 st. cor. 201 st. New Industrial City, Riyadh KSA.


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