SEMINAR REGISTRATION FORM

Seminar Info
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): RM 400.00 - Industry/private sector
RM 200.00 - Government agencies/academia
RM 100.00 - Postgraduate student (kindly email proof of student status to the Secretariat)
USD 120.00 - International Participants (refers to participants residing outside Malaysia)
Payment for registration shall be made via (please tick): Cash, deposited via bank or online transfer (preferred payment method)
Cheque
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.

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
Email : estee@nutrihealth.com.my/nsm.scientificupdates@gmail.com