XEE Facilitator's Training (Mandarin)XEE 导师培训班 - Registration 报名表格
27th -31st March 2019 (Wed - Sun)
2019年3月27 至 3月31日(星期三至星期日)

Wed 星期三: 6:30 pm - 10:00 pm
Thurs to Sat 星期四- 星期六: 9:00 am - 10:00 pm
Sun 星期日: 9:00 am - 11:00 am

CONTACT PERSON 联络人
Ruth Tan – 017 8888748
Email: ruthtan.ee@gmail.com

Venue: Georgetown Baptist Church @ Penang 乔治市浸信教会
GBC @ IMPACT
2, Jalan Larut,
10050 Georgetown,
Penang.
Tel : 604-2287110
Course Fee 学费
RM230/人 = ( 包括材料和膳食 )
请将奉献与报名表格于截止日期前交上

Please write on the banking slip for "Xee Clinic GBC 2019" and then email to eemalaysia@gmail.com once payment made. 请在存款单据上注明"Xee Clinic GBC 2019" 并电邮至eemalaysia@gmail.com.
或 Fax 03-80233252 注明 Attn: Ruth Tan

All cheques are to be made payable to 所有支票抬头,请注明
"E.E. FRIENDSHIP (MALAYSIA) BERHAD"

户口: PUBLIC BANK A/C NO. 311-909-583-6

*Closing Date: 06th March 2019
截止日期: 2019 年 3 月 6 日

Name 姓名(中文和英文) *
Your answer
Title 称呼 *
Marital Status 婚姻状况
Gender 性别 *
Age 年龄 *
Your answer
Mailing address 邮寄地址 *
Your answer
Postcode 邮政编号 *
Your answer
Telephone number 电话号码 *
Your answer
Email 电邮 *
Your answer
Church name 教会名字(中文和英文) *
Your answer
Senior Pastor / Elder's name 主任牧师姓名 *
Your answer
Your EE background 你的EE背景
Is your church currently running EE Semester? 你的教会目前正在进行EE学期吗? *
Have you ever been trained in any EE Semester or Clinic before? 你是否曾经在任何EE学期或培训班接受过培训? *
If yes, please indicate which type of EE training. 如果是的话,是哪一些?
Accommodation 住宿
Accommodation is not included in the fee. 报名费不包括住宿
We will arrange accommodation as per your request, please make your payment to the hotel.
主办当局会帮忙预订,参加者抵达后请自理住宿费
Accommodation *
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Check-out 退房手序
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Remarks 注意
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