Development Banking Fellowship Program

Level 3, ADFIAP Career Credentialing Program

(A pre-event of ADFIAP Annual Meeting)

April 23 & 24, 2012 – 9:00am to 4:30pm – Titanic Port Hotel, Istanbul, Turkey

Registration Form

    Name (as written in Passport):

    Gender

    MaleFemale

    Nationality

    Birthdate

    Designation/Tile

    Unit/Department/Division

    Telephone

    Mobile Phone #

    Fax

    E-mail

    Passport Number

    Place & Date of Issue

    Dietary Preference (if any)

    Arrive Instanbul on

    Airline/Flight No

    Depart Instanbul, Turkey on/Flt No.

    Hotel Accommodation in Istanbul

    Titanic Port HotelSheraton Istanbul Atakoy Hotel

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    Security Question

    Course Investment: US$1,250 per participant (US$1,450 per participant for non-ADFIAP member) which includes training materials, lunch and am/pm snacks during the program, and certificate of fellowship (hotel accommodation and airfare will be for the participant/sponsoring institution’s account).

    Attendance is confirmed only upon receipt of the completed Registration Form and full amount of the investment fee to be transferred to:

    ADFIAP Account No. 5/010514/004;
    Bank: Citibank, N.A. Philippines
    Swift Code: CITIPHMX
    Address: 8741 Paseo de Roxas, Makati City 1200, Philippines

    Cancellation Policy: Cancellation received in writing 10 working days prior to the event will be entitled to a full refund less 15% administration fee, after which, no refund will be effected. Substitution or replacement of participant is allowed anytime prior to start of the program.

    For inquiries, please contact
    Ms. SANDRA C. HONRADO, Program Officer, ADFIAP Asia-Pacific Institute of Development Finance (IDF)
    Telephones: (63-2) 8161672 or (63-2) 8430932
    Fax: (63-2) 8176498
    Email: [email protected]