ACI Dealing & Operations Certificate Workshop

Nairobi, 19-24March 2018

Booking Form

Please return both pages of this form to:

Part A –
Delegate Details:
Surname / Click here to enter text. /
First Name(s) / Click here to enter text. /
Position / Click here to enter text. /
Dietary Requirements*
Office Number / Click here to enter text. /
Cell Number / Click here to enter text. /
E-mail Address / Click here to enter text. /
Indicate the Certificate you wish to enroll for / ☐ACI Dealing Certificate (19-23 March)
☐ACI Operations Certificate (19-24 March)
Part B –
Line Manager Details:
Contact Person / Click here to enter text. /
Position / Click here to enter text. /
Telephone Number / Click here to enter text. /
E-mail Address / Click here to enter text. /
Company / Click here to enter text. /
Postal Address 1 / Click here to enter text. /
Postal Address 2 / Click here to enter text. /
Postal Address 3 / Click here to enter text. /
Postal Address 4 / Click here to enter text. /
Postal Code / Click here to enter text. /
VAT Number / Click here to enter text. /

*Kindly note that delegates with special dietary requirements may incur a surcharge.

  1. Cancellation / Substitution

Delegates who subsequently cancel their attendance or fail to attend, for whatever reason, will be required to pay a percentage of the workshop fee according to the following schedule.

Cancellation DatePercentage of Fee

More than 30 calendar days prior to the start date:0%

Less than 30 calendar days prior to the start date:35%

Less than 14 calendar days prior to the start date:50%

Less than 7 calendar days prior to the start date:100%

Substitution of delegates is possible at any time, subject to the eligibility and pre-course preparation criteria outlined in the workshop brochure.

  1. Payment of Fees

The workshop fee quoted in the brochure is payable in full without deduction of local withholding and other taxes.

  1. Copyright

By ticking the below box, you agree to observe the copyright of all Peter Skerritt & Associates material received in both printed and electronic formats.

You furthermore agree not to reproduce, store in a retrieval system, or transmit in any form or by any means, electronic, mechanical, photocopy, recording or otherwise any part of the material without our prior written permission.

Signature:

☐By ticking this box, I hereby confirm that I understand and agree to abide by the cancellation, payment of fees and copyright terms as stated above. By ticking the box, I furthermore confirm that I am duly authorised by my line manager (as per the details recorded under Section B) to confirm my attendance to the training.

Click here to enter a date.

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