Registration Form

Registration Closing Date: 04 October 2017
Contact PWDC, Ms. Nabila at email: or Tel: +604-261 2835
General Details
First Name *
Your answer
Last Name *
Your answer
Title *
Your answer
Organization *
Your answer
Designation *
Your answer
Mailing Address *
Your answer
Contact Number *
Your answer
Email Address *
Your answer
Diet *
Registration and Payment
Submission of an online registration is regarded as a firm booking. However the booking will not be confirmed until full payment has been received. Payment in full must be received at time of registration and no later than 3 week before the date that the conference begins. In the event that full payment is not received by then, the delegate will be refused entry to the conference. We accept payment by bank transfer, please note that all transfer charges must be met by the sender.

Registration Fee: MYR200 (Malaysians); USD200 (Non-Malaysians)

Payment can be made to:
Account Name: PWDC SDN BHD
Account No: 8881009904111 (Islamic Current Account)
Bank Name: Ambank (M) Berhad
Bank's Address: Ground & 1st Floor, Menara Liang Court,
No. 37 Jalan Sultan Ahmad Shah, 10050 Penang, Malaysia.
Swift Code : ARBKMYKL
Tel : 6(04)-226 3939
Fax : 6(04)-226 1313

Upon payment, please submit your payment details to fax: +604 261 2839 or email:
Declaration *
I declare that I am participating in the "Asia Pacific Conference: Localising The Sustainable Development Goals (SDGs): Leaving No One Behind" organised by Penang Women's Development Corporation (PWDC) on 25th - 26th October 2017 at my own risk. By submitting this form, I agree to release PWDC, the organising committee and all persons concerned in organising this conference, "Asia Pacific Conference: Localising The Sustainable Development Goals (SDGs): Leaving No One Behind" from any and all known and unknown damages, injuries or judgment and all claims that may be suffered by anyone or any property. I consent to be photographed on 25th - 26th October 2017 by PWDC while taking part in this conference. I further authorise that the photographs may be published for any purpose and in any form. Please refer to our website for details
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