International Professional Mediation Advance Course - Singapore Convention (April 2020) [Application Form]
Course Code: Med10-01H-0420

Date: 9 & 20 April 2020 (Thu, Mon)
Deadline: 3 April 2020 12:00 Noon
Name in Chinese *
(Must be the same as shown on HKID Card)
Your answer
Name in English *
(Must be the same as shown on HKID Card)
Your answer
Other Name
(e.g. John)
Your answer
Professional Mediator of any institute (if applicable)
Institute, Member No. (e.g IDRRMI, IAPM9999)
Your answer
Contact Number *
Your answer
Email Address *
(Confirmation email will only be sent to this email address)
Your answer
Correspondence Address *
(Certificate will only be sent to this correspondence address)
Your answer
Payment Methods *
Remarks
Your answer
Terms and Conditions
A. Registration must be made by returning the completed online application form via google link and sending the crossed-cheque or copy of the bank-in slip to 21/F, Success Commercial Building, 245-251 Hennessy Road, Wan Chai, Hong Kong by 12:00 noon on 3 April 2020. Confirmation will be notified by email upon successful application on or before 4 April 2020. No Refund will be arranged at all circumstances after 4 April 2020.

B. If you do not receive any email confirmation from the Secretariat after 3 April 2020, your name will be wait-listed. Your submitted cheque will be voided subsequently by the Secretariat if you have not been assigned a place in the captioned course or If your course fee was made by bank transfer, a cheque will be issued to you as the payment refund.

C. Participants must sign in and sign out. Participants who are late for more than 20 minutes or leave earlier of each session will not be qualified for the completion of IDRRMI’s & MHJMC’s & HKMC’s CPD Points in respective sessions.

D. If you are not able to attend the captioned course after the receipt of the confirmation email, you are required to inform the Secretariat as soon as you are aware of unavailability on/ before the course date by email. No refund will be made after confirmation.

E. If typhoon signal no. 8 or above or black rainstorm warning signals is hoisted and not lowered by 2 hours before the lesson start, the lesson will be postponed or canceled. Rescheduled date/ time/ venue will be announced in due course.

F. In case of any disputes, the Academy of International Dispute Resolution & Professional Negotiation reserves the right to make final decisions.

G. The course is subject to change at any time without liability.
Personal Information Collection Statement
1. Personal data provided in the enrollment form will be used for the admission process. However, failure to provide such data may impede the enrollment process and communication with the applicant. All such data will be destroyed should the enrollment be unsuccessful.

2. The personal data provided in the enrollment form will be used by AIDRN staff for delivering latest information including any events and courses to be held, discount, benefits and services offers. These personal data will not be transferred to other external parties for purposes as stated above.

3. Under the provisions of the Personal Data (Privacy) Ordinance, applicants have the right to request access to and correction of their personal data. Applicants wishing to access or make corrections to their data should submit written requests to Academy of International Dispute Resolution & Professional Negotiation.
Personal Information Collection Statement (Cont.)
Declaration of Applicant *
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