NCCIM’s Trade Mission to Yangon, Myanmar 15 – 18 March 2015, Sunday to Wednesday Kindly confirm by faxing your response to 03-6204 9711 before 13th October 2014 Registration Form your – Faxattendance to 03 62049711 Company/Organization:_________________________________________________________________ Nature of Business: ____________________________________________________________________ Address: _____________________________________________________________________________ _____________________________________________________________________________________ Telephone:__________________________________ Fax: _____________________________________ Email: _________________________________Contact Person: ________________________________ Passport No:__________________________________________________________________________ Participants Name of Hotel :___________________________________________________________ Single Room ______ Double/Twin Sharing ______ Names Designation 1. ______________________________________ ________________________________________ 2. ______________________________________ _________________________________________ Please provide photocopy of your passport. Company Profile: In a separate sheet, please give us a brief summary of your company profile to be included in the mission handbook. Please contact Rosli Dawan for more details 018-3770 574 Kindly confirm your attendance by faxing your response to 03-6204 9711 before 9th March 2015