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]
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