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Young<br />

Members<br />

Group<br />

CIArb<br />

Malaysia<br />

REGISTRATION FORM|<br />

1st REGIONAL CONFERENCE<br />

organised by YMG CIArb (Malaysia)<br />

19 AUGUST 2016, KUALA LUMPUR<br />

A. DELEGATE INFORMATION (Please attach your business card or write in block capitals)<br />

Name :<br />

Gender : Male / Female<br />

Firm / Company :<br />

Bar Council Membership No. (if applicable) :<br />

Address :<br />

Postcode : Country :<br />

Tel (Office) :<br />

E-mail :<br />

Mobile:<br />

Fax:<br />

Industry : Designation :<br />

Special Dietary Requirement:<br />

B. PAYMENT METHOD<br />

REGISTRATION FEE (please tick)<br />

[ ] Early Bird Package – Conference &<br />

Evening Cocktails<br />

RM350.00 / £60 (only available before 28 th July<br />

2016)<br />

[ ] Conference only<br />

[ ] Conference & Evening Cocktails<br />

RM400.00 / £67<br />

RM450.00 / £75

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