ILSI Malaysia Country Committee 7

th
Scientific Seminar
Update on Vitamin D in Human Nutrition
November 12, 2013
Dorsett Grand Subang Hotel, Subang Jaya, Selangor DE, Malaysia

How to register

Complete the registration form and mail to: TES NutriHealth Strategic Consultancy
46 Jalan SS22/32, 47400 Petaling Jaya, Selangor D.E.

Or fax to 03-77287426 or email to: nutrihealth.tes@myjaring.net

All registration forms MUST be accompanied by payment:

1. By cheque, made payable to TES NutriHealth Strategic Consultancy and mail to address above.
Outstation cheques should include the required commissions. Government agencies may make
payment through local purchase orders (LPO).

2. By direct bank-in:
Name of account: TES NutriHealth Strategic Consultancy
Name of bank: Public Bank Berhad
Account No.: 31262-468-29
Note: After banking in, fax bank-in slip to: 03-77287426 or email to: nutrihealth.tes@myjaring .net

REGISTRATION FORM

Name: Prof/Dr/Mr/Ms ________________________________________________________________

Name of company/organization: ________________________________________________________

Correspondence Address: _____________________________________________________________

___________________________________________________________________________________

Tel: ___________________ Fax: _______________ E-mail: ____________________________
All personal details must be clearly entered to enable us to contact you.

Please register me for the above mentioned Seminar, as follows (please tick):
Industry/private sector
Government agencies/academia
Postgraduate student (I enclose herewith proof of student status)
I enclose herewith (please tick):
Cheque No: _________________ for RM: ______
Direct bank-in (please scan and email bank-in slip)
Government LPO/guarantee letter from Head of Department/Institution

Registration is only confirmed upon receipt of payment.

I would like to request for vegetarian lunch _________ (please tick if applicable)

Signature: __________________ Date ________________
Organiser: Co-Organiser:
Nutrition Society of Malaysia