Formulir Pendaftaran (Registrasi) Training

We are registering for:
·         Program Training	:
·         Date	:
·         Time	:
·         Fee	:
1.      Name	:	No. HP:
Position	:
2.      Name	:	No. HP:
Position	:
3.      Name	:	No. HP:
Position	:
Name Enrollee	:	No. HP:
Position	:
Company	:
Mailing Address	:
Phone (ext. no.)	:
Fax No.	:
E-mail	:
Enrollee: (…………………………………….) Signature & Company Stamp
Metode of Payment       Cash       Transfer