CERTIFICATION OF COMPETENCY IN BUSINESS ANALYSIS (CCBA) CERTIFIED BUSINESS ANALYSIS PROFESSIONAL (CBAP) Date: 28 – 31 Oct 2014 Venue: K-Pintar Academy, Bangsar Trade Centre,KL Yes! Please register the participant(s) below for thi s training program (Kindly photocopy for more participants) Investment for 4 Days Training Fee : RM 5,000 per participant Delegate 1 Group Discount is allowed subject to Terms & Conditions by Management. Name: ____________________________________________________________ This investment includes 2 tea breaks, lunch and training materials. NRIC: _____________________________________________________ This workshop is PSMB claimable under SBL Khas scheme; subject to PSMB approval. Job Title: ________________________________________________ Terms & Conditions Mobile No.: _____________________________________________ Email: ___________________________________________________ Meal Choice: Vegetarian Non-Vegetarian 1. 2. Delegate 2 Name: ____________________________________________________________ 3. NRIC: _____________________________________________________ Job Title: ________________________________________________ Mobile No.: _____________________________________________ Email: ___________________________________________________ Meal Choice: Vegetarian Non-Vegetarian 4. 5. Registration forms are required within 14 working days prior to our cut-off date: 10th Oct 2014 Following completion & return of the registration form, full payment is required within 5 working days from receipt of invoice. Please note that payment must be received prior to the conference date. Due to limited conference space, we advise early registration to avoid this. Any cancellation is to be given in writing at least 14 working days prior to the cut-off date and a replacement delegate(s) is required at no additional cost. If there is no replacement delegate(s) for cancellation, the organiser reserves the right to charge 70% of the total investment from your organisation. The organizer reserves the right to make any amendments and/or changes to the training program, venue, facilitator replacements and/or modules if warranted by circumstances beyond its control. Delegate 3 PAYMENT METHOD Name: ____________________________________________________________ NRIC: _____________________________________________________ Job Title: ________________________________________________ Mobile No.: _____________________________________________ All cheques are to be made payable to K-PINTAR SDN BHD Account: NAME : CIMB ISLAMIC BANK ACCOUNT NO : 14220000038108 SWIFT CODE : CIBB MYKL Email: ___________________________________________________ Kindly fax / email this registration forms to: Meal Choice: Fax No : 603- 2284 4175 Vegetarian Non-Vegetarian Email : [email protected] COMPANY DETAILS Company Name: ______________________________________________ How did you know about this training? Contact Person: ______________________________________________ Address: _______________________________________________________ _________________________________________________________________ Please tick (√) your choice(s) ( ) Account Manager/Name: __________________________ ( ) K-Pintar email-blast Tel: ___________________________ Fax: __________________________ ( ) HR or Training Department Email: ( ) Social Media [Facebook/Twitter/LinkedIn] _______________________________________________________ Company Stamp Chop : Authorized Signature: _____________________________________________ Name: __________________________________ Date: ______________________ ( ) Others (please specify): ____________________________________ K-Pintar Sdn Bhd (601316-X), Suite C-13-6, 13th Floor, Wisma Goshen, Bangsar Trade Centre, 59200 Kuala Lumpur. Tel: +603-2284 4148/43/49 www.kpintaracademy.com