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IMC engineering - NACE Course Registration Form
If you wish to register more than one Student, please use one form per registration per student
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Brunei Darussalam
Myanmar
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Hong Kong
India
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Israel
Japan
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North Korea
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Maldives
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Nepal
Oman
Pakistan
Palestine
Philippines
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Russia
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Singapore
Sri Lanka
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Australia
Fiji
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Marshall Islands
Micronesia
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Samoa
Solomon Islands
Tonga
Tuvalu
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Algeria
Angola
Benin
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Burkina Faso
Burundi
Cameroon
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Central African Republic
Chad
Comoros
Democratic Republic of the Congo
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Djibouti
Egypt
Equatorial Guinea
Eritrea
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Senegal
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United Republic of Tanzania
Togo
Tunisia
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VAT Code / Fiscal Code
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Mandatory for Companies of EU Countries
* Please write also the COMPANY FISCAL CODE if it is different than VAT CODE
Email Where the invoice will be sent
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Where do you want to receive the certification and NACE documentation?
Home address
Company address
COURSE DETAILS
Course Fees
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Fees can be changed without notice
For NACE Membership
Membership Number
Expiring Date (dd.mm.yyyy)
No Certification Number
Select the Course to Register
*
CIP Level 1 - October 7-12, 2018 Somma Lombardo (Italy)
CIP Level 2 - October 14-19, 2018 Somma Lombardo (Italy)
PCS1 - May 23-25, 2018 Genova (Italy)
DCC - June 18-22, 2018 Somma Lombardo (VA)
Other
Select the Course you are also interesting
*
CIP Level 1
CIP Level 2
Peer Review
MCT
Basic Corrosion
DCC - Designing for Corrosion Control
CCCP - Coating in Conjuction with Cathodic Protection
PCS1 - Basic Principles
Others
None of above
FOR THE STUDENT REGISTERED AT EXAM ONLY
Where did you attend the Course?
When did you attend the Course?
Did you already take the exam only?
How many times did you take the exam only? And Where?
FOR THE STUDENT ALREADY CERTIFIED
Where and When did you take the certification? (level 1)
Where and When did you take the certification? (Level 2)
GENERAL INFORMATION
What is your current Job Function
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Work Area
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Please select
Blasting/Painting operator
Blasting/Painting Supervisor
Coating Inspector
Coating Specifier
Coating Technical Representative
Consultant
Engineer
QA/QC
Sales Representative
Primary
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Please select
Construction
Engineering
Inspection/Expediting
Oil&Gas
Power Generation
Shipping/Marine
Other
Secondary
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Construction
Engineering
Inspection/Expediting
Oil&Gas
Power Generation
Shipping/Marine
Other
Other
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With reference to the law in force in the EC countries concerning privacy, please be informed that your personal data will be treated within the limits of normal activity of IMC engineering S.r.l.
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To receive future publication and other published information
BANK DETAILS
To IMC engineering S.r.l. - Corso Torino 5/12, 16129 Genova (Italy)
BANCA UNICREDIT
Account No. 104275732 Swift Code UNCRITM1L16
IBAN: IT 37 P 02008 01454 000104275732
With this registration I confirm to have carefully read the terms, condition and information for registration in particural payments, cancellation and refund terms and to accept them in full.
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