Registration Form

Reinventing Your Business Strategy
June 17 - 18, 2010
Registration Form
Apply date:  Friday, July 30, 2010
 
    
  Applicant Information
 
 
 
  
     
 		Title
Initial
First Name *
Middle Name
Last Name*
Nickname
Gender
English 

Thai    
Nationality   
Date of Birth
 
  Professional Rank
  
  Office Address
 
Position1(English)
Position2 (English)
Position1 (Thai)
Position2 (Thai)
Management Level
Company(English)
 (Thai)
Address(English)
   
  
(Thai)
Province/State(English)
 (Thai)
Zip Code 
Country (English)
 (Thai)
Website
Telephone 
Fax
E-mail Address
Mobile Phone
Secretary/Assistant
Telephone (Sec/Asst)
E-mail Address (Sec/Asst)
 
 
  Education Background
 
 Institutions AttendedDegreeMajorYear
1
2
3
4
5

        
  
  Alumni
   
 PLEASE CHECK THE FOLLOWING
I shall make full payment of registration fee before June 03, 2010. I understand that a confirmed reservation cannot be guaranteed prior to payment.
Money transferred to The Siam Commercial Bank Public Co., Ltd., Siam Square Branch, Savings Deposit Account No. 038-2-04022-1 for Sasin Graduate Institute of Business
Vegetarian meals are preferred
EMBA AlumniYear Class 
EMBA AlumniYear Class 
HRM AlumniYear Class 
Ph.D AlumniYear Class 
SEP AlumniYear Class 
ASEP AlumniYear Class 
SAP AlumniYear Class 
Alumni Recommended
  
  Meal
   
 PLEASE CHECK THE FOLLOWING
Vegetarian meals are preferred
Other meals are preferred (Please specify)
     
   Expense Summary
   
Program  Fee  
Baht 45,000.00
Discount %
Baht 0.00
Total Amount   
Baht 45,000.00
 
Payment  Date -
Payment  Criteria Unpaid
Payment Update By -
 
   Remarks