REGISTRATION FORM

Please complete and return by e-mail, regular mail or fax.

Please note that the name and title you give here will be printed on participants’ list and on certificates.

Participant Information

Full Name: ____________________________________________________________________________

Organization: __________________________________________ Designation _____________________

Country: _____________________________________________________________________________

Telephone: __________________________________________Cell/Mobile # ______________________

Email (Official): _________________________________Email (Personal): _________________________

Training Workshop Fee

Training Workshop fee include admission to training workshop sessions, tea/coffee, lunch, study
materials and Certificate.

Topic Fee (PKR)

Two Days Specialized Training Workshop on Islamic Micro & Agriculture Finance’’ on 28,000/-
April 19 -20, 2019 at Islamabad, Pakistan

Discount Policy
 Three or more delegates from the same organization - 20% discount
 Students are entitled to avail the discount

Date: ___________________

Signature: ________________