Prof/Dr/Mr/Mrs/Ms*

E-mail Address*

Job Designation

 

Organisation / Company

 

Address

Post Code

Tel

Fax

State / Country

Remarks

[ International Participants ]
Individual USD 400.00 per pax
Student*** USD 200.00 per pax
[ Malaysian Participants ]
Individual RM 950.00     per pax
Student*** RM 400.00     per pax
Technical Visit is included in Sysposium Fees
***Note: Proof of student identification is necessary to qualify for special rate

[ Please Select Where Relevant ]

1. Type of Participant *

2. Type of Registration*

3. Mode of Payment*

4. Bank Draft / Cheque No : **
5. Place Of Issue :

6. Mode of Currency*
7. Amount* :
 

**Note: Bank Draft or Company Cheque should be crossed and made payable to PENGARAH INSTITUT PENILAIAN NEGARA

*Note: Required / Compulsory Fields
 
For any enquiry please e-mail us : irers2010@inspen.gov.my