Eng/中文
Registration Form of APLIC 2019
(Early registration is encouraged. Please note that on-site registration may NOT be accepted.)
*Title
*Family Name *Given Name
*Passport No./ ID
*Insurance Company
*Address
*Country/Region
Office Tel
Fax
*Mobile No.
*Email
*Please provide your address and/or e-mail address in full accuracy to ensure that you will receive the letter of confirmation for registration.
Payment
Special Price (1 Jan – 31 Dec 2018) SGD 398
*Simultaneous Interpretation (S.I.) Needed YES



NO

*Would you like to to become a volunteer of the APLIC 2019? For more detail, please click here.
YES
NO
I declare that my personal details above are true and correct. I accept that the Organiser bears no responsibility for any error or omission. I confirm that I have read and agree with Terms and Conditions (PDF File) and House Rules (PDF File).
*The information provided in this form will be used for the purpose of processing your registration and communicating with you on matters relating to or in connection with the APLIC,2019. You have the rights of access and correction with respect to your personal data held by us.