2nd CLMVT Professional Development in Nonlife Insurance
Course name: International Training Course: 2nd CLMVT Professional Development in Nonlife Insurance
Date: 4-8 March 2019
Time: 08:30 - 17:00
Venue: AIT Conference Center, Asian Institute of Technology - Thailand
Prefix *
Name *
Your answer
Middle name
Your answer
Last name *
Your answer
Nationality *
Your answer
Passport No.
Your answer
Passport Validation
Position *
Your answer
Organization/Company *
Your answer
Department *
Your answer
Address (for Invoice & Receipt insurance) *
Your answer
Email Address *
Your answer
Telephone no. *
Your answer
Fax No.
Your answer
Registration Fee (Incl. Course Materials, Lunch & Refreshment) *
Contact Person for payment
Contact person Name
Your answer
Contact person email address
Your answer
How did you know about this training?
For Payment:
Pls. transfer your registration fee in full to:

Account name: Thaire Services Company Limited
Account number: 151-1-59359-1
Bank name: Bank of Ayudhya Public Company Limited
Bank address: 1222 Rama III Road, Bang Phongphang, Yan Nawa, Bangkok 10120
Tel: +66(0) 2296 2000


** Pls. provide a copy of pay-in slip or transfer statement to Ms. Thariya Emanavin at thariya@thaireservices.com or Mr. Songpon Saengpun at songpon@ait.ac.th for reference and registration confirmation.

Term & Conditions: The organizer reserves the right to change and/or cancel the training programs due to unforeseen circumstance or low enrollment. Cancellation after 22 February 2019, we shall honor your 50% refund request.

Never submit passwords through Google Forms.
This form was created inside of Asian Institute of Technology. Report Abuse - Terms of Service