REGISTRATION FORM

Sign-up Form

Registration Fee:

RM 1500/-   @    USD 500/-

LIMITED SEATS! REGISTER NOW!

Name
Address
Phone
E-mail Fax:
Signature: PAYMENT MODE:

Method of Payment

Payment via cheque or bank draft shall be payable to ‘Jabatan Peguam Negara’

Payment via local order shall be payable as follows:

Payee : Jabatan  Peguam Negara

Account No. 16010000318713

Bank Code: BMMBMYKL

Bank Name: Bank Muamalat Malaysia Berhad, Putrajaya Branch

Walk-in-participants may be accepted subject to availability and payment of the full fee.

Unless expressly stipulated, Course fee includes course material and refreshment only, (Accommodation is not provided). No refund will be given for any cancellation, however a substitute participant is allowed if the registered participant is unable to attend the course.

The Attorney General’s Chambers reserves the right to make any changes to the Event.

For International Participants:

 Bank transfer made payable to:

Account holder:     Jabatan Peguam Negara                                 Bank:                                       Bank Muamalat Malaysia Berhad, Putrajaya, Malaysia
Account number:   16010000318713Bank  Code:               BMMBMYKL                                                            
Message field:       ICLM 2011, participant’s name

Bank addressBank Muamalat Malaysia Berhad,61200 Putrajaya,  Malaysia

NOTE! Make sure you mark ICLM 2011, participant’s name  in the bank transfer details. Please note that all payments should be net of any bank handling charges. 

Contact persons:

Mohd Shah Effendi Abd Malek                                                                          Shahidatul Akmal Ithnin

03-8885 5784                                                                                                               03-8885 5394

effendi.malek@agc.gov.my                                                                                  shahidatul.akmal@agc.gov.my

FULL PAYMENT MUST BE MADE ON OR BEFORE

10^TH AUGUST 2011