OFIC 2022 - MOSTA

I/We* like to register the following person(s) for the above Seminar:
Full Name*
Name Designation
Company*
Organisation*
Email*
Phone*
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please tick if vegetarian diet is requierd
- Vegetarian
- Non Vegetarian
Category*
- MOSTA Member
- NON MOSTA Member
Choose your payment method:*
- Cheque/Banker's Draft made payable to "MOSTA"
- Payment by Telegraph Transfer to "MOSTA" Account
- Payment and registration online
Cheque No.*
Please attach the advice slip of the remittance if paid by telegraphic transfer*
Max. file size: 256 MB.
Please attach the online transfer payment receipt*
Max. file size: 256 MB.
By direct bank in
- Pay direct to our Malayan Bank Berhad , 50-52 Jalan Sultan (52/4), 46200 Petaling Jaya
- A/C No. : 512530-155068
- Name of Account : MOSTA
- Swift Code : MBBEMYKL
- Kindly scan the payment slip and email to mosta.secretariat@gmail.com
Email
This field is for validation purposes and should be left unchanged.

I/We* like to register the following person(s) for the above Seminar:
Full Name*
Name Designation
Company/College/University*
Organisation*
Email*
Phone*
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please tick if vegetarian diet is requierd
- Vegetarian
- Non Vegetarian
Category*
- MOSTA Member
- NON MOSTA Member
Status*
- Working Adult
- Student
Choose your payment method:*
- Cheque/Banker's Draft made payable to "MOSTA"
- Payment by Telegraph Transfer to "MOSTA" Account
- Payment and registration online
Cheque No.*
Please attach the advice slip of the remittance if paid by telegraphic transfer*
Max. file size: 256 MB.
Please attach the online transfer payment receipt*
Max. file size: 256 MB.
By direct bank in
- Pay direct to our Malayan Bank Berhad , 50-52 Jalan Sultan (52/4), 46200 Petaling Jaya
- A/C No. : 512530-155068
- Name of Account : MOSTA
- Swift Code : MBBEMYKL
- Kindly scan the payment slip and email to mosta.secretariat@gmail.com
Email
This field is for validation purposes and should be left unchanged.

Name	Designation

Name	Designation