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5thGENERAL ASSEMBLY

OF THE ASSOCIATION OF AFRICAN PUBLIC SERVICES COMMISSIONS

13 to 15 March 2018

REGISTRATION FORM

Please complete the form and send by e-mail or fax to the Secretariat, Office of the Public Service Commissionof South Africa by no later than 15 February 2018. Should you have any questions, please do not hesitate to contact:
Mr Justice Kgoedi
Tel: +27 12 352 1026
E-mail: / Ms Fienie Viviers
Tel: +27 12 352 1145
E-mail:
Bookings will only be confirmed once we receive your registration form and full payment.(Please use the name of your Commission as reference on the deposit slip).

Personal Information

(Please type or print clearly in CAPITAL LETTERS. All fields MUST be completed for registration.)

Title: □Mr □Mrs □Ms □Prof □Dr □Others (Please specify)

Position: □ Chairperson of Commission □ Member of Commission □ Secretary □Other (Please specify):

Surname:

Name:

Organisation (E.g.Name of Commission):

Country:
Tel: (country code – area code – tel no.)
Fax: (country code – area code – tel no)
E-mail address:

Is your organisation a registered member of the AAPSComs? □ Yes □ No

Special dietary requirements:

□ None □ Vegetarian □ Halaal□ Other (Please specify)

Formal Gala Dinner

Will you attend the formal Gala Dinner on Day 1:
Dress Code: Black Tie/ Traditional / Yes / No

Summary of payment:

Fee / Date of payment / Total
US$250 per delegate
An e-mail message confirming receipt of payment will be sent to the address provided above. Please bring the confirmation message with you to the registration desk to facilitate the registration process.
Bank Account details:
Bank Name:ABSA Bank Limited
Account Number:40-7590-6845
Branch Code:63 20 05
Swift Address:ABSA ZA JJ
Beneficiary:AAPSComs / Any cancellation or change must be received and confirmed by the Secretariat by written notice via fax or e-mail before 23 February 2018 for a 70% refund of total payment. No refund will be granted after this date for no-show. The refund will be processed one month after the event, less the applicable taxes and bank handling charges.