Course Selection

Personal Details

Individual registration or contact person for group registration

* denotes a mandatory field

Personal


First Name*
Middle Name
Last Name*

Company Information


Company*
Department*
Designation*

Contact Details


Email*
Telephone Number*
Mobile Number*
Fax Number
   

Mailing Address


Block Number*
Street Name*
Building Name
Floor & Unit Number
City*
Postal Code*
Country*


Participant(s) Information

If the contact person is participating in the course, his/her details should also be inserted below

# Full Name IC Number Company Designation Contact No. Email Years of Industry Experience Diet State Food Allergies,if any

Course Fees

Sub Total

0.00

Discount

0.00

Grand Total

0.00


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Contact Us

Address:

Wizlogix Pte Ltd
16 Jalan Kilang #03-05
Hoi Hup Building (Off Jalan Bukit Merah)
Singapore 159416 (view map)

 

Phone:
Fax:
Email:

+65 6272 6366
+65 6272 6246
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