Training & Certifications of QRGP

Registration

Training & Certifications of QRGP

Thank you for registering our program. Kindly fill in below the data of participant registering for the mentioned CRMS Indonesia program, including the Contact Person if available. Our Secretariat will proceed the registration soon after you submit this online form.

*) is mandatory field

Participant Info

Title * First Name * Last Name * Company / Institution * Position * Department / Division * Email Address (Primary & alternative(s) if any, i.e: email1@email.com, email2@email.com) * Phone (Primary) * Mailing Address (Street, City, Province, Country, Postal Code) *

Person In Charge (PIC)

PIC Name PIC Email Address PIC Phone

Program Details

Program Date *

Method *

Payment Period Payment Method Payment by * Reference Code (Optional) Data peserta dibagikan ke mitra CRMS untuk kepentingan marketing program mitra, apakah Anda setuju? *
Participant with the data above is registering for this program.
Note :
1. The price will be charged automatically become after event price if the payment are not received until the end of workshop event
2. Cancellations made before during the event will be charged administrative cost as follows:
> 4-7 days before event: 50% charge of full training cost
> 0-3 days before event: 100% charge of full training cost

Registration