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  • Registration
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  • If you do not wish to complete this form online, please click here to download it. You can then fill it out and email it to the addresses indicated on the form.

    • AIMA VII CONFERENCE

    • KUALA LUMPUR, MALAYSIA - 21 to 23 October 2009

  • REGISTRATION WITH FULL PAYMENT RECEIVED BY AIMA
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  • On or before 15th August 2009
  • USD 280.00 (RM 952.00)
  • After 15th August 2009
  • USD 380.00 (RM 1,292.00)
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  • The registration fee quoted above is heavily subsidised by the sponsors of the event and the fee includes the following benefits:
    1. Invitation to a cocktail function on Wednesday, 21st October 2009 to welcome delegates
    2. Entrance to all the scientific sessions during the entire duration of the conference
    3. A conference binder with hard copy of the papers that have been presented
    4. Invitation to three (3) lunches during the conference
    5. A copy of the AIMA -VII Group photograph
    6. Invitation to the official closing dinner on Friday, 23rd October 2009
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    • Male
    • Female
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    • Mr.
    • Mrs.
    • Ms.
    • Dr.
    • Prof.
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      • Registration Fees*
      • On or before 15th August 2009
      • USD 280.00 (RM 952.00)
      • After 15th August 2009
      • USD 380.00 (RM 1,292.00)
      • Closing deadline
      • 30th September 2009
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      • Cancellation & Refund Policy*
      • Before 30th June 2009
      • 75 %
      • Before 31st August 2009
      • 50%
      • After 31st August 2009
      • Nil
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      • Please indicate if you will be attending the following:
      • Cocktail function on Wednesday 21st October 2009 at 18:45 pm
      • Yes
      • No
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      • Closing dinner on Friday 23rd October 2009 at 18:45 pm
      • Yes
      • No
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      • MODE OF PAYMENT- Delegates from Malaysia
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      • All payment must be made in Malaysian Ringgit and made payable to " The Academy of Insurance Medicine of Asia " at an exchange rate of US$ 1.00 = RM 3.40 either in the form of a local cheque, bankers order or by depositing the amount directly into the account of AIMA as shown herewith;
      • Beneficiary Bank
      • Public Bank Berhad - ( Jalan Raja Chulan Berhad Branch) Ground Floor, Wisma Lim Foo Yong 86, Jalan Raja Chulan,50200, Kuala Lumpur, Malaysia
      • Name of account
      • The Academy of Insurance Medicine of Asia
      • Account Number
      • 3091410301
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      • MODE OF PAYMENT- Delegates from other countries(Non-Malaysian)
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      • All cheques and bank drafts must be made payable to " The Academy of Insurance Medicine of Asia& in US dollars or its equivalent in Malaysian Ringgit.
      • If payment is made by Telegraphic Transfer (TT)
      • (All charges for the telegraphic transfers must be strictly borne by the delegate)
      • Beneficiary Bank
      • Public Bank Berhad - ( Jalan Raja Chulan Berhad Branch) Ground floor, Wisma Lim Foo Yong 86, Jalan Raja Chulan 50200, Kuala Lumpur, Malaysia
      • Name of account
      • The Academy of Insurance Medicine of Asia
      • Account Number
      • 3091410301
      • Bank's Swift Code
      • PBBEMYKL
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      • The completed form together with the appropriate registration fee in the form of a bank draft / or evidence of a telegraphic transfer must be sent by registered mail to:
          • AIMA Secretariat for registration by Malaysian delegates
          • Dr. Malini
          • Hannover Re Malaysian Branch
          • Suite 31-1, 31st Floor,
          • Wisma UOA II, 21 Jln Pinang,
          • 50450 Kuala Lumpur, Malaysia
          • Tel: +60/3/21 64 51 22 extension 402
          • Fax: +60/3/21 61 60 29
          • Email:malini.tharmanason@hannover-re.com
          • AIMA Secretariat for registration by delegates from other countries
          • Ms. Michelle Eng
          • The Academy of Insurance Medicine of Asia
          • c/o General Cologne Re
          • 9, Temasek Boulevard
          • Suntec Tower 2 , # 10-01
          • SINGAPORE 038989
          • Tel :+65 7438 7990 extension 718 or 720
          • Fax :+65 6884 8037
          • Email: meng@genre.com
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    • NOTE : THE LAST DATE FOR EARLY SUBMISSION IS 15th AUGUST 2009
    • Kindly register me as a delegate at the AIMA VII conference .
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    • If you need assistance, please contact the Secretariat or Email us at meng@genre.com