REGISTRATION FORM

Please register me for :

HANDS-ON WORKSHOP ON WIRELESS THREATS AND SECURITY ASSESMENT
12 NOVEMBER 2009 Datai, Level 2, Traders Hotel Penang Dr/Mr/Ms: Organisation : Address : Position: Email: Post Code : MNCC/ISACA M’SHIP NO: Tel : 2nd Attendee Dr/Mr/Ms : 3rd Attendee Dr/Mr/Ms : Payment Details
Please enclose Cheque/Bank Draft and make payable to “Gabungan Komputer Nasional Malaysia” Account Number : MBB 5122 3151 2576

Fax :

Position :

Position Confirmation of Booking
Send/Fax this registration form (or photocopy) to: Gabungan Komputer Nasional Malaysia (Malaysian National Computer Confederation) Unit 916, 9th Floor, Block A Damansara Intan, No. 1, Jalan SS 20/27 47400 Petaling Jaya, Selangor Darul Ehsan Tel: (603) 7118 3040 Fax: (603) 7118 2930 Email : wtsaw@mncc.com.my URL : http://www.mncc.com.my

CHEQUE/DRAFT NO: BANK : AMOUNT:

WORSHOP FEE (PER PERSON)
1 Attendee 2 Attendees from the same organisation 3 Attendees from the same organisation Government Officials MNCC & ISACA members RM 695.00 RM 595.00 RM 545.00 RM 595.00 RM 545.00

SUBSTITUTION/CANCELLATION Substitutions are allowed for a registered attendees. A refund of 50% will be levied for cancellations received not later than 23 June 2009. No refund can be made prior to the event proper. The organisers reserve the right to make any amendments and/or changes to the programme if warranted by circumstances beyond their control. Walk-in attendees with payment will be admitted based on availability basis.

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