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
    Upload Photo (200x200 pixels)
    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: shonrado@adfiap.org