SEMINAR REGISTRATION FORM (ONLY FOR REGISTRANTS RESIDING IN MALAYSIA)

Seminar Info
ILSI Seminar & Workshop on Maternal, Infant & Young Child Nutrition
Personal Detail

All personal details must be clearly entered to enable us to contact you.

Payment Detail
Please register me for the above-mentioned Seminar, as follows (please tick):
Local (residents of Malaysia)
RM 450.00 - Government/Academia
RM 800.00 - Industry

Overseas
This registration form is ONLY applicable for local participants.
For overseas participants, please refer to the link here: http://ilsisea-region.org/event/miycn2018/
Payment for registration shall be made via (please tick): Cash, deposited via bank or online transfer (preferred payment method)
Cheque, Deposited via bank
Invoice to company/organisation/government (LPO/Guarantee letter by company or organisation required)

For payment by cash/cheque, kindly use the following banking information:

Bank Name : Public Bank Berhad
Account Name : TES NutriHealth Strategic Consultancy
Account Number : 31262-468-29
Swift Code : PBBEMYKL

* For participant who require invoice to be issued to the company, kindly email to the Secretariat the full details (name of company, company address, the name and email of the person-in-charge) for the preparation of invoice.

* For the preparation of LPO, kindly download the two documents below:
1. TES NutriHealth Strategic Consultancy Bank Statement Cover
2. Business Registration Certificate

Note that failure to produce any proof of payment will result in delay of confirmation of payment and registration.

Please tick if applicable I would like to request for vegetarian lunch.

Contact : Dr Tee E Siong/Ms Muhaini Hussin/ Ms Yvonne Chwee
Email : estee@nutrihealth.com.my/nsm.scientificupdates@gmail.com