Training Course Booking

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Training Course Booking

To register for our public training, simply complete this form. Please use a separate
copy for each person attending. Fax, e-mail or mail your completed form to :
PT. Barron International
Bukit Cimanggu Villa Block M1/8
Jl. Baru Cibadak, Bogor 16166
Phone: (62-251) 7538490 and (62-251) 2799993 Fax: (62-251) 753.6694
Email: barron_international@yahoo.co.id Web-site: www.barron.co.id

Course Code

: SS/WEST

Course Title

: BASIC SEA SURVIVAL

Course Date

: SENIN, 7 APRIL 2014

Name in Full

: Terlampir

Company Name in Full

: PT. PROCON PROTELINDO

Mailing / Invoice Address : JL. Senjaya 5 No. 90, Jakarta Selatan 12110

Contact Person

: Manggala M. Tel: 021-7267237

Fax: 021-7234052

Payment :
Payments should be paid by transfer to Bank Mandiri Cab. Juanda Bogor a/n :
LILIA WAHYUNI ( Director PT. Barron International ) No. AC : 133 00 0308604 8
Or Bank BCA Cab. Juanda Bogor a/n : LILIA WAHYUNI ( Director PT. Barron
International ) No. AC : 095 1220611 and accompanied by a registration form before
course commences.