ATTENDANCE CONFIRMATION FORM

Knowledge Management Forum 2012

Saturday, 7 January 2012, 8.00 am 01.00 pm SHAH ALAM CONVENTION CENTRE SHAH ALAM SELANGOR
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Name Address

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E-Mail Address Phone

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*With my signature below, I affirm I personally attended the forum described above and affirm that the information on above was already completed at the time that I signed this document.

Signature

Date

** Please return this form by email to km.sharingiscaring@gmail.co or post to secretariat KM Forum 2012, Student of DBA MGT922, Graduate of Business Management, Faculty of Business Management, Universiti Teknologi MARA, 40450 Shah Alam Selangor. Or Fax to: 03-4280 2467. Tel: 010-4367445 [Dateline: 2 Dec 2011]
WORKSHOP PRODUCT RELEASE
IN CONFIRMING MY REGISTRATION FOR THIS PROGRAMME, I AGREE THAT ANY AUDIO RECORDING OR IMAGES (STILL OR VIDEO) MADE OF ME DURING THE WORKSHOP MAY BE USED FOR FUTURE PROJECT PUBLICATIONS IN PRINTED OF ONLINE. I FURTHER AGREE THAT MY CONTRIBUTIONS TO CREATIVE WORKS THAT EMERGE FROM WORKSHOP ACTIVITIES (E.G., DISCUSSIONS ON THE EMAIL LIST, FACEBOOK, CONTRIBUTIONS TO THE WEB PAGE, SUMMARIES OF FORUM DISCUSSION, ETC.) MAY BE USED FOR DEVELOPMENT OF FUTURE WORKSHOP MATERIALS, AND FOR PROMOTION OF FUTURE PROGRAMME.