Request edit access
SIY Mindfulness Program (10-11 November 2017) Registration Form

Venue Address: Advanced Global Institute of Learning Excellence (AGILE), B3-903A, Block B3 Level 9, Leisure Commerce Square, No. 9 Jalan PJS 8/9, 46150 Petaling Jaya, Selangor Darul Ehsan.
Location Map: https://goo.gl/maps/N3DVWCAwRNC2
Drive here with Waze: https://waze.to/lr/hw2838301k

Contact us at (+60) 3 7872 9408 or agile@taylors.edu.my

Our website: http://agile.taylors.edu.my

Training organised by:
Advanced Global Institute of Learning Excellence (AGILE)
(A member of Taylor's Education Group)

Email address
Title
Suffix
(Optional)
FIRST NAME
Your answer
LAST NAME
Your answer
EMAIL
Your answer
CONTACT NUMBER
Your answer
INSTITUTION/ORGANISATION
Your answer
Dietary restrictions
For half-day training, light refreshments will be provided. For full day training, breakfast, lunch and tea will be provided.
Additional Remarks
E.g.: Special needs, food allergies, etc.
Your answer
What is your role in the organisation?
Required
How did you know about this programme?
Enter Promo Code (if applicable)
Your answer
I understand that I will have to make payment 2 weeks prior to the event date.
Required
Payment Instruction
Step 1: You will receive an invoice from Taylor's Education Sdn Bhd
Step 2: Make payment via:
(a) Cheque payable to "Taylor's Education Sdn Bhd"
(b) Bank in/Cash/Online Tele-transfer to:
Bank Name: AMBANK (M) BERHAD
Account No: 254-2012000539
Account Name: TAYLOR'S EDUCATION SDN BHD
SWIFT Code: arbkmykl
Step 3: Email/Fax payment receipt to agile@taylors.edu.my
Step 4: An official receipt will be issued within 2 weeks
I acknowledge that I have read and agree to the above Terms and Conditions.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Advanced Global Institute of Learning Excellence. Report Abuse - Terms of Service - Additional Terms