2013 MSCPMP Circle

YEARLY

Subscription Form

[New / Renew / Update]

Subscriber InformationName: (As in Passport)

First Name:

Last Name:(Name registered with PMI footnote 1)

Company (before) Designation:

(Default is PM)

Company (current) Email 1:

(Personal)

Company (current) URL:

Email 2:

(Personal)

PMI ID: Mobile Phone:

PMP ID: PMP Trained by AsiaICTpm:

Yes / No

PMP Certification Date:

Joined MSCPMP Circle before (please circle) :

No:

If Yes :

2008 / 2009 / 2010 / 2011

1. You may check your name registered with PMI at https://ccrs.pmi.org

2. Email 1, Email 2 or Mobile Phone is used to registered events

3. If you have obtained your PMP from others, please email a copy of your passport size photo to mpc@AsiaICTpm.com.

One time registration fee Annual Subscription

AsiaICTpm PMP Alumni RM100.00 RM300.00

Others RM200.00 RM400.00

FIRST TIME Subscriber1.AsiaICTpm PMP Alumni : RM100 + RM300 = RM4002.PMP Trained by Others: RM200 + RM400 = RM600

2013 MSCPMP Circle Subscription Fee

Payable to MSCPMP Circle (Maybank 5-14169-15234-5)

Amount: ______________________ Cash / Cheque No: _______________

Bank: ______________________

Terms and conditions:

1.You will entitle to attend 2 Half Yearly Forums and one (1) additional SPECIAL EVENT free.

2.Earning you a total of 12 PDUs.

3.Enjoying 40% discount on all workshops organized by us which is conducted by international experienced trainers.

How to make payment

Direct Transfer1.Transfer the fund via Maybank2u.com / Maybank’s ATM machine into our Maybank account No 5-14169-15234-5 (account owner Advanced Technology Studies Center Sdn Bhd). 2.Print PDF payment receipt and the completed registration form 3.Email documents in (2) to us. Email: mpc@asiaictpm.com

By cheque 1.Please cross your check and make payable to MSCPMP Circle (Maybank 5-14169-15234-5)2.Bank in the cheque via Maybank’s ATM machine and scan or fax bank in receipt.3.Email documents in (2) to us. Email: mpc@asiaictpm.com