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REGISTRATION FORM
ABC Waters Professional Core Module CU4
Date: 17-18 October 2024
Time: 9.00am - 1.00pm / 9.00am - 6.00pm
Venue: IES Academy (Devan Nair Institute e2i #04-10)
If you are self-sponsored, please register online and you may make payment directly via the IES portal.
Only use this form if you are:
- a SILA/SIA-BOA member (as the IES portal is unable to capture external memberships)
- company sponsored and require a separate invoice
Salutation
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Ms.
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Dr.
Full Name
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Singapore Citizen
Singapore PR
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Company Name
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Mobile Number
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Email
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IES Membership no. (if any):
PE/CEng/SILA/SIA-BOA No. (if any)
Meal default will be Halal Bento**
Vegetarian
Normal (may contain chicken, fish, prawn, egg and/or greens)
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Company sponsored
Self-sponsored
For Company sponsored participant ONLY (Please fill in HR contact details)
HR/Training Contact Person Name
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Please choose your Payment Method By:
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Bank transfer
PayNow
For Government Agencies, please indicate BU code and Attention To
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PERSONAL DATA PROTECTION ACT
I consent to the processing by Institution of Engineers, Singapore of personal data, including sensitive personal data as defined in the Data Protection Act 2014, about me for the proper purposes of Institution of Engineers, Singapore (IES). I undertake to observe the provisions of the Data Protection Act 2014 in relation to any personal data I may myself hold and process as a Members of Institution of Engineers, Singapore, and I agree to indemnify Institution of Engineers, Singapore from liability for any claims or damages that may arise from the processing of this data. For more information kindly refer to: https://www.ies.org.sg/About-IES/PDPA
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