GROUP REGISTRATION FORM

Transcription

1 GROUP REGISTRATION FORM PART 1: REGISTRATION FEES tick ( ) where applicable. Types of Booking Developed Countries International Developing Countries Malaysian Group (3-4 pax) - Entitled to 20% discount USD 1, USD per delegate MYR 1, Group (5-10 pax) - Entitled to 25% discount USD 1, USD per delegate MYR 1, Note: 1. Price is inclusive of 6% Goods and Services Tax (GST) and is HRDF claimable for eligible Malaysian organisations. 2. Registration for Day 3 (October 23) is now closed. PROMOTION CODE: state your promotion code (if any) Group Registration Procedure 1. Fill in Registrants' Details (Leader), Group Members' Details form and each registrant to sign a separate Personal Data Notice. 2. Upon completion of Part 1, 23 & 4, to GTF2015@globaltransformation.com to initiate registration process. 3. Invoice will be ed to group leader once group registration has been processed. REGISTRANT DETAILS (LEADER) Title: First Name: Last Name (Surname): Position: Organisation: Organisation Address: City: Postal Code: State: Country: Identity Card No. (Malaysian only): Passport No. (Non-Malaysian): Mobile: Emergency Contact (Name): Country of Issue: Telephone No.: Fax No.: Emergency Contact (Telephone No.):

2 Payment Method All payments should be made payable to GLOBAL TRANSFORMATION FORUM OPTION 1: CREDIT CARD I hereby authorise AOS Conventions & Events Sdn Bhd to charge my Credit Card for: Total amount due in Malaysian Ringgit (MYR): Card No: Type of Card: Mastercard Visa Expiry Date (mmyy): Secure Code (CVV/CVC): Name on Card: OPTION 2: TELEGRAPHIC TRANSFER Swift bank transfer must be made without charges to the beneficiary, and payable to GLOBAL TRANSFORMATION FORUM 2015 in Malaysian Ringgit (MYR) or its equivalent. Name of Bank : Standard Chartered Bank Malaysia Berhad Address : 2, Jalan Ampang, Kuala Lumpur, Malaysia Account No : Swift Code : SCBLM-YK-XXXX Important Note: - include a copy of your Bank transfer with your form. Bank drafts and cheques (except for local cheque) will not be accepted for payment. - Bank charges are to be borne by Payee. OPTION 3: LOCAL ORDER (Only Applicable for Malaysian Government Agencies) the original copy of LO to Global Transformation Forum 2015 Secretariat at GTF2015@globaltransformation.com for verification. No. Pesanan Kerajaan (L/O): Amount (MYR): OPTION 4: CHEQUE (Only Applicable for Malaysian Cheques) attach the cheque or copy of cheque deposit slip with your form. Letter of Invitation (for Visa Application) Registrants must possess a valid passport or other internationally recognised travel documents endorsed for travelling to Malaysia, with a validity period of at least six (6) months beyond the time of stay allowed in Malaysia. Registrants may request the Visa Invitation Request Form by to GTF2015@globaltransformation.com. note that it is the sole responsibility of the Registrant to obtain the necessary paperwork for entry into Malaysia. The invitation letter will only be provided to Registrants who has registered and paid in full for the conference. This letter will facilitate but DOES NOT guarantee that you will be granted a visa. Visa requirements are dependent on the country of origin and last port of disembarkation before entering Malaysia. For detailed information on visa applications, please visit: Registrants can also contact the nearest Malaysian consulate to confirm visa requirements.

3 PART 2: GROUP MEMBERS' DETAILS Note : 1. fill in the registrants' particulars completely. 2. Each registrant is required to fill in and return the acknowledgement of Personal Data Act as attached with this form. No tion Code Title First Name Last Name (Surname) NRIC / Passport Number Passport Issuing Country (for Interational Registrant) Contact Number PDPA Checkbox ( or X)

4 PART 3: TERMS AND CONDITIONS OF REGISTRATION I. Registration Entitlement 1. Upon payment of registration fee, delegates will gain access to the GTF Forum, GTF Exhibition, BFR Workshop (if applicable) and all related materials provided by The Organiser. 2. Fees for accommodation, flights and tours are NOT included in the registration fees. II. Registration Process and Payment 1. Registrants can register via online registration at Alternatively, they may complete the registration form and send it to the GTF Secretariat via at or fax to (603) Online registration is open till 14 October 2015 only. After 14 October 2015, registration can only be done manually by completing the registration form and making payment in full. 3. A letter confirming the registration will be sent via upon full payment of registration fees. bring along this confirmation letter and present it at the registration counter when collecting your delegate badge on 20 & 21 October Payment of registration fees can be made via: i. Credit Card (Visa & MasterCard only) ii. Telegraphic Transfer iii. Local Order (Applicable to Malaysian Government Agencies only) iv. Cheque (Applicable to Malaysian cheques only) 5. For payment made by Local Order (LO), please the original copy of the LO (Local Order) to the GTF 2015 Secretariat at GTF2015@globaltransformation.com for verification before 2 October For payment made by Credit Card, the amount reflected in the Credit Card statement will be in the currency of the cardholder's country of origin. If an invoice is requested, the amount paid will be reflected in MYR and USD terms. 7. For University Lecturers and Students to complete the registration, a letter or any documentary proof from the relevant department or learning institution should be submitted to confirm the Lecturer or Student status. The document should be sent to the GTF 2015 Secretariat via at GTF2015@globaltransformation.com or fax to (603) The Organiser reserves the right, and will inform Registrants on any alteration to any of the arrangements for the GTF 2015 including the cancellation of the event should unforeseen circumstances require such action. In the special circumstances that the entire event has to be cancelled, the Organiser will refund the registration fee to the Registrants. However, the Organiser will not be liable for other associated costs, e.g. accommodation and travelling expenses, and any inconveniences incurred to the Registrants due to the cancellation. Therefore, Registrants are advised to arrange for their own travel insurance. 9. Some of the information, including the First Name, Last Name and Country/Territory of residence of Registrants will be used for compiling a list of which will be posted on the official website. contact the GTF 2015 Secretariat via at GTF2015@globaltransformation.com or by fax to (603) , if you have any queries about the disclosure of personal information and Privacy Policy. III. Registration Transfer 1. All registrations are transferrable on or before 25 September Transfer requests must be made by to the GTF 2015 Secretariat at GTF2015@globaltransformation.com or fax to (603) The new Registrant should complete the registration form. Transfer of registration will not be allowed after 25 September IV. Cancellation and Refund Policies 1. All cancellation of registration must be done in writing and submitted to the GTF 2015 Secretariat via at GTF2015@globaltransformation.com or fax to (603) Any cancellations received on or before 15 September 2015 will be charged a handling fee of MYR 105 (USD 30). The balance of the registration fees will be refunded after deducting other related fees and charges incurred in connection with such refunds, including costs of foreign exchange conversion, Credit Card cancellation and/or banking transaction. Any cancellations after 15 September 2015 will not be refunded. 3. All refunds will be made in MYR at the prevailing foreign exchange rate. 4. Refund for cancellations will be made within three months after the confirmation of cancellation by the GTF 2015 Secretariat. Any charges imposed by banks and Credit Card issuers will be borne by the Registrants. V. Liability 1. The Organiser reserves the right to make changes where deemed necessary, with or without prior notice to parties concerned. All disputes are subjected to the Malaysian Law. We kindly request you to authorise us by your signature to use all registration data given in this form for computerised handling of the conference.

5 PART 4: PERSONAL DATA NOTICE / NOTIS DATA PERIBADI 1. Purpose of notice The Organisers of GTF 2015 i.e. Global Transformation Forum, BFR Institute Sdn. Bhd., a subsidiary of Performance Management and Delivery Unit, Prime Minister s Department, Government of Malaysia and the GTF 2015 Secretariat ( Organisers or we ) are required to comply with the Personal Data Protection Act 2010 (the Act ), which regulates the processing of personal data in commercial transactions. For the purpose of this Personal Data Notice, the terms personal data and processing shall have the meaning as prescribed in the Act. 1. Tujuan Notis Penganjur GTF 2015 iaitu Global Transformation Forum, BFR Institute Sdn. Bhd., anak syarikat kepada Unit Pengurusan Prestasi dan Perlaksanaan, Jabatan Perdana Menteri, Kerajaan Malaysia dan Sekretariat GTF 2015 ( Penganjur atau kami ) dikehendaki mematuhi Akta Perlindungan Data Peribadi 2010 ( Akta ) yang mengawal selia pemprosesan data peribadi dalam transaksi komersial. Untuk tujuan Notis Data Peribadi ini, terma-terma data peribadi dan pemprosesan akan mempunyai maksud sepertimana ditakrifkan dalam Akta. 2. Processing of personal data The personal data processed by us may include, but is not limited to, your name, IC number, address and other contact details. 2. Pemprosesan data peribadi Data peribadi anda yang diproses oleh kami termasuk, tetapi tidak terhad kepada, nama, nombor kad pengenalan, alamat dan maklumat hubungan lain. 3. Purpose of processing personal data The personal data is collected for, amongst others, the following purposes: (a) to process your registration form for training events (including conferences) organized by GTF 2015 Secretariat and collaborative partner(s) for administrative purpose such as attendance list, issuance of invoice, official receipt and certificate of attendance; (b) to communicate with you on the confirmation of the events and matters in connection to GTF 2015 Secretariat, events and Forum; (c) to send out for our future conferences or workshops which may be related to you; (d) to mail the official receipt and certificate of attendance; (e) to respond your enquiries or complaints; and (f) other administrative purposes which relate to the above. 3. Tujuan memproses data peribadi Data peribadi yang diambil adalah bagi, antara lain, untuk tujuan berikut: (a) untuk memproses borang pendaftaran program latihan (termasuk persidangan) yang dianjurkan oleh Sekretariat GTF 2015 dan rakan kerjasamanya untuk tujuan pentadbiran seperti senarai kehadiran, pengeluaran invois, resit rasmi dan sijil kehadiran; (b) untuk berkomunikasi dengan anda mengenai pengesahan acara ini dan sebarang perkara yang berkaitan dengan Sekretariat GTF 2015, acara dan persidangan; (c) untuk menghantar emel bagi persidangan atau bengkel akan datang yang mungkin melibatkan anda; (d) untuk penghantaran resit rasmi dan juga sijil kehadiran melalui pos; (e) untuk memberi maklum balas kepada apa-apa pertanyaan atau pengaduan; (f) apa-apa tujuan pentadbiran lain yang berkaitan dengan perkara di atas. 4. Disclosure of personal data The personal data held by us shall be kept confidential. However, we may disclose your personal data to: (a) Co-organisers within the GTF 2015 Secretariat; (b) To our collaborative partners (in terms of name for issuance of certificates of attendance under paragraph 3(a) above); (c) Other parties authorised by you; (d) Regulatory and governmental agencies as permitted or required by law, authorised by any order of court or to meet obligations to regulatory authorities. 4. Pendedahan Data Peribadi Data peribadi yang disimpan oleh kami akan disimpan secara sulit. Walau bagaimanapun, kami mungkin akan mendedahkan data peribadi anda kepada: (a) badan-badan penganjur bersama di dalam Sekretariat GTF 2015; (b) kepada entiti-entiti lain yang menganjurkan GTF 2015 bersama (dari segi nama peserta untuk pengeluaran sijil kehadiran seperti yang dinyatakan dalam perenggan 3(a) di atas); (c) pihak lain yang anda benarkan; (d) Agensi penguatkuasa dan kerajaan sepertimana yang dibenarkan atau dikehendaki oleh undang-undang, dibenarkan oleh mana-mana perintah mahkamah atau untuk memenuhi obligasi kepada mana-mana pihak penguatkuasa. 5. Protection of personal data The security of your personal data is ensured by the Organisers of GTF 2015 as we shall take all physical, technical and organisational measures needed to ensure the security and confidentiality of your personal data. If we disclose any of your personal data to any entities, we will require them to appropriately safeguard the personal data provided to them. 5. Perlindungan data peribadi Keselamatan data peribadi anda adalah dijamin oleh Penganjur GTF 2015 kerana kami akan mengambil semua langkah fizikal, teknikal dan organisasi yang diperlukan bagi memastikan keselamatan dan kerahsiaan data peribadi anda. Sekiranya kami mendedahkan data peribadi anda kepada mana-mana pihak, kami akan memastikan bahawa pihak tersebut mengambil langkah yang sepatutnya bagi memastikan keselamatan data peribadi yang diberi kepada mereka. 6. Retention of personal data It is our policy to retain your personal data from the date of collection for as long as it is necessary for the fulfillment of the purposes as set out under paragraph 3 above or for the compliance with the law or any legal obligation of the GTF 2015 Secretariat. We shall stop processing your data when you write to us using the contact details below to withdraw your consent. 6. Penyimpanan data peribadi Ianya merupakan polisi kami untuk menyimpan data peribadi anda dari tarikh data dikumpul selama ia perlu bagi mematuhi tujuan seperti yang dinyatakan di bawah perenggan 3 di atas atau mengikut keperluan undang-undang atau obligasi undang-undang Sekretariat GTF Kami akan menghentikan pemprosesan data peribadi anda, apabila anda mengemukakan permintaan secara bertulis kepada kami melalui maklumat perhubungan dibawah untuk menarik balik kebenaran anda. 7. Access of personal data Under the PDPA, you have the right to access your personal data to ensure that the personal data we hold about you is accurate, complete, not misleading and up-to-date. If you wish to exercise such rights and request access to your personal data, please contact us, the GTF 2015 Secretariat or BFR Institute Sdn. Bhd. at: 7. Akses kepada data peribadi Di bawah PDPA, anda mempunyai hak untuk mengakses data peribadi anda untuk memastikan data yang kami simpan mengenai anda adalah tepat, lengkap, tidak menyeleweng dan terkini. Jika anda ingin menggunakan hak tersebut dan memohon akses kepada data peribadi anda, sila hubungi Sekretariat GTF 2015 atau BFR Institute Sdn. Bhd. di alamat dibawah: GTF 2015 Secretariat /Emel: GTF2015@globaltransformation.com Telephone/Telefon: Fax/Faks: BFR Institute Sdn. Bhd. /Emel: GTF2015@globaltransformation.com Telephone/Telefon: Fax/Faks: Kindly sign and acknowledge the Declaration Statement below after you have read and understood the Notice and you consent to the processing of your personal data by Organisers of GTF 2015 and the GTF 2015 Secretariat. Sila tandatangan Penyata Deklarasi di bawah setelah anda telah membaca dan memahami Notis ini dan anda mengizinkan pemprosesan data peribadi anda oleh pihak Penganjur GTF 2015 dan Sekretariat GTF 2015-Bahagian Pendaftaran. DECLARATION STATEMENT/ PENYATA DEKLARASI To / Kepada : BFR Institute Sdn. Bhd. I hereby acknowledge that I have read and understood this Personal Data Protection Notice on personal data and by signing this, I consent to the processing of my personal data in accordance with the terms of this notice. Saya dengan ini menyatakan bahawa saya telah membaca dan memahami Notis Perlindungan Data Peribadi berkenaan data peribadi dan dengan menandatangani deklarasi ini, saya mengizinkan pemprosesan data peribadi saya selari dengan terma-terma notis ini Signature/ Tandatangan Date / Tarikh: Name/ Nama: I/C No / Passport No / No IC / No Passport: PLEASE RETURN FORM TO OR ENQUIRE BELOW: GTF 2015 SECRETARIAT c/o AOS Conventions & Events Sdn Bhd Ampang, Kuala Lumpur, Malaysia. GTF2015@globaltransformation.com Phone: Fax: