Entry Form for training course Course ID/Name: For MS Office courses: version 2003 www.altkomakademia.pl Course date: from 2007 2010 to PL ENG Training Center (City): Tradesperson: Altkom Akademia S.A. Chłodna 51 Street 00-867 Warszawa Registered: Sąd Rejonowy dla m. st. Warszawa Sąd Gospodarczy XII Wydział GospodarczyRejestrowy Nr 0000120139 NIP 118-00-08-391 Share capital: 1.000.000 PLN banc account: BRE Bank S.A. Od. Reg. Warszawa 14 1140 1010 0000 2735 1600 1001 Customer Service: 0-801 258 566 Fax: (22) 460 99 00 telecentrum@altkom.pl Number of candidates: Total net amount: Customer First and Last Name: Phone number: Street City and postal code: NIP: Phone number: Number of attendees 1. 2. 3. 4. 5. Warszawa Tel: (22) 460 99 99 Fax: (22) 460 99 90 warszawa@altkom.pl Kraków Tel: (12) 298 44 44 Fax: (12) 298 44 45 krakow@altkom.pl e-mail: Company name First and Last Name: position: First and Last Name: position: First and Last Name: position: First and Last Name: position: First and Last Name: position: e-mail: e-mail: e-mail: e-mail: e-mail: I hereby declare the Attendees meet the entry requirements for the course. I declare that we have read and accepted the "General Terms and Conditions for training courses in Altkom Akademia S.A." In the event of cancellation on a notice shorter than 10 workdays prior to the first day of the week when the course is scheduled, we shall oblige to pay the processing fees in line with the "General Terms and Conditions for training courses in Altkom Akademia S.A." Processing fees* Katowice Tel: (32) 775 95 95 Fax: (32) 775 95 96 katowice@altkom.pl Poznań Tel: (61) 664 72 72 Fax: (61) 664 72 70 poznan@altkom.pl Wrocław Tel: (71) 719 88 00 Fax: (71) 719 88 12 wroclaw@altkom.pl Cancellation at least 10 working days prior to the first week day of the scheduled course date 0,00 PLN Cancellation 9 or 8 working days prior to the first week day of the scheduled course date 20% catalog price + VAT Cancellation 7 or 8 working days prior to the first week day of the scheduled course date 100% catalog price + VAT *If a framework contract has been concluded between Altkom Akademia and the Customer, the processing fees specified herein apply, unless contrary to the framework contractual provisions. I hereby give consent to include and process my above depicted personal data depicted by Altkom Akademia S.A. under the Data Protection Act 1997 (Dz. U. z 2002 r., nr 101, poz. 926 z późn. zm.). Gdańsk Tel: (58) 785 33 33 Fax: (58) 785 33 34 gdansk@altkom.pl Łódź Tel: (42) 290 99 00 Fax: (42) 290 99 07 lodz@altkom.pl Warszawa First name, last name and signature of Date of registration – Kraków – Katowice – Poznań – Wrocław – Gdynia - Łódź General Terms and Conditions for training courses in Altkom Akademia S.A. I. Registration 1. The initial registration procedure for all training courses offered by Altkom Akademia S.A., registered in Warsaw (hereinafter referred to as Altkom Akademia) is being conducted as follows: 1.1. filling in an online entry form on Altkom Akademia's website or 1.2. sending an entry form via email to an Altkom Akademia's sales representative or to one of the company's training locations. 2. In case of an online or email booking, the sales representative of Altkom Akademia will contact the Customer (ie, the person depicted as the Customer in the Entry form for training courses) on the nearest working day, to determine the details of participation in the training course. 3. Upon agreement on the extent and schedule of the training course with Altkom Akademia's sales representative, the Customer is required to print out and fill in the Entry Form for the training course, either using the one available on the company's website, or the one received by email from the sales representative. 3.1. In case when the Customer is a natural person not conducting a business activity, the Entry Form must be signed by the person who will be the Attendee (or the legal guardian in case of a minor). 3.2. In case of other legal entities, the Entry Form must be signed by the person eligible to contract financial obligations on behalf of the applicant company. 3.3. The signature on the Entry Form is a confirmation of accepting the "General Terms and Conditions for training courses in Altkom Akademia S.A.", including accepting the organizational and financial conditions on implementing educational services; the signature also authorizes Altkom Akademia to issue VAT invoices. 4. The general prerequisite for attending a training course is submitting a correctly filled in Entry Form either scanned by email or via fax to the sales representative or Altkom Akademia's training location, together with accepting the "General Terms and Conditions on training courses in Altkom Akademia S.A." at least 10 working days prior to the first day of the week the course is scheduled. 5. Natural persons are additionally required to pay a fee of 100% of course fee + VAT, subject to the provisions of the following section: II. Payment Terms. 6. Prior to course commencement, the Customer will receive confirmation of the scheduled course appointment via email or by telephone. 7. If a framework contract has been concluded between Altkom Akademia and the Customer, the conditions specified herein apply, unless contrary to the framework contractual provisions. In the event of inconsistency of the "General Terms and Conditions of training courses in Altkom Akademia S.A.” with the framework contract, the framework contract agreement provisions shall apply. II. Payment Terms 1. Payment for participating in the training courses is regulated by the General Terms and Conditions of training courses in Altkom Akademia. 2. The General Terms and Conditions for payment are as follows: 2.1. natural persons are to transfer 100% course fee + VAT at least 10 days prior to the first day of the week the course is scheduled; 2.2. other legal entities are to transfer 100% course fee + VAT against VAT invoice issued by Altkom Akademia after course completion; the payment is due within 14 days from the VAT invoice date; Note: Note: in the event of money transfer prior to course schedule, please send a bank transfer confirmation promptly. 3. Courses with fees quoted in Euro will be invoiced in PLN equivalent amount based on average Euro rate as published by the National Bank of Poland on the last working day prior to the date of the invoice. 4. Fees for training courses at Altkom Akademia are net prices. All activities (training courses, workshops and consulting sessions) are subject to 23% VAT unless Vat-exempt as pursuant to Art. 43 sec. 26 and sec. 29 of the Act on the Value Added Tax from 11th march 2004 (consolidated text: Dz.U.Nr54, poz. 535) 5. Courses and activities offered at Altkom Akademia as continuing education activities are Vat-exempt. 6. In the event when an activity organized by Altkom Akademia will not take place on the scheduled date or in the event of a fully booked course, the amount paid for the activity, specified in the above 2.1 or framework contract agreement will be applied towards future courses organized by Altkom Akademia as specified with the Customer, or returned on the Customer's initiative by Altkom Akademia to the specified bank account within 7 workdays from receiving a payment order from the Customer. 7. Payment for all activities offered by Altkom Akademia may also be made with Vouchers issued by Altkom Akademia. Vouchers may be used by the bearer or a person authorized by name on the voucher as payment for partial or total funding of a chosen training course from public scheduled courses catalogue, depending on the price of the course. Rules and Regulations on the Usage of Vouchers are available on http://www.altkomakademia.pl/regulamin-bony-edukacyjne and in Altkom Akademia's head office. III. Cancellation 1. After the booking, cancellations and rescheduling notifications must be made at least 10 working days prior to the start of the first day of the week of the scheduled course date, free of charge. 2. In case of a cancellation 9 or 8 working days prior to the first week day of the scheduled course date: 2.1. The Customer, referred to in the preceding paragraph I ust. 3.2, is required to pay a service fee of 20% of the training course catalogue price + VAT. The fee is calculated from the VAT invoice issued after course completion and is due within 14 days from the date of the invoice. 2.2. Altkom Akademia will refund 80% of the training course catalogue price + VAT to a natural person not conducting a business activity (referred to in paragraph I us. 3.1 above) within 7 days from receiving a valid training course cancellation, provided the person has paid the registration fee in accordance with the "General Terms and Conditions for training courses in Altkom Akademia S.A.". Warszawa – Kraków – Katowice – Poznań – Wrocław – Gdynia - Łódź 3. In case of cancellation within 7 or less working days prior to the first week day of the scheduled course date, or on the scheduled course date (Absence), the Customer is required to pay the 100% training course fee + VAT by invoice issued after course completion; the payment is due within 14 days from the date of the VAT invoice. 4. In case of Absence, Altkom Akademia includes the payment issued by the Customer on account of processing charges; the Customer has no right to attend another training course within Altkom Akademia on this account, and no refunds can be made. 5. In case of cancellation, the Attendee is required to return any courseware received before course commencement within 7 working days from cancellation date. Not returning the courseware within the prescribed time will result in charging the Customer with the purchase costs of the courseware incurred by Altkom Akademia. NOTE: Cancellation shall be null and void unless delivered in writing and may be delivered via fax or scan by email to an Altkom Akademia sales representative or to the Test Center where the training course is scheduled. IV. 1. General notes Each Attendee, taking part in activities within any training location of Altkom Akademia and within the issued fee, is entitled to: 1.1. 1.2. 1.3. 1.4. 1.5. 2. a dedicated training environment, dedicated courseware (unless specific course requirements state otherwise), one hot meal during a day (applies to full-day courses), coffee, tea and water during breaks, certificate of participation or certification specific for the given course issued by the manufacturer. Altkom Akademia delivers training courses and activities in the company's Training Locations by offering classroom or by distance learning delivery methods. Distance learning is a form of learning where the Attendee participates in a live instructor-led course transmitted via an internet channel. 2.1. During a distance learning course, the Attendee is participating online in a stationary classroom instructor-led activity using video conference, while physically present in a different training location of Altkom Akademia.than the one where the course is being delivered. 2.2. The Attendee may profit from a real-time instructor and peer interaction, perform all exercises and lab tasks in a real training environment under the instructor's supervision. During distance learning courses, the Attendees have contact with both the instructor and the group: they may communicate with the group, ask questions and provide answers to the instructor inquiries. 2.3. Distance learning courses are formalized: they take place within specified scheduled date and time and the instructor is in control throughout the course. Prior to commencing a distance learning course, the Attendee and the Customer will receive confirmation of the schedule and delivery method of the course by phone or email. The Attendee is required to arrive 15 minutes prior to the scheduled time. 2.4. During distance learning courses, the Attendee is provided with a computer equipped with camera and microphone for a two-way video communication. Depending on the course type, the Attendee has access to necessary equipment, including a second computer for performing lab exercises. The instructor has remote access to the Attendee's computer at all times. All hardware is prepared in accordance with course requirements. The Attendee receives technical support during the distance learning course, at the training location site where the Attendee stays for the duration of the course. 3. The Attendees bear all travel and accommodation costs. 4. Altkom Akademia S.A. reserves the right to refuse to administer or cancel a course if justified by organizational or technical difficulties or insufficient number of attendees. Altkom Akademia will inform the Customer on the refusal or cancellation reasons on the shortest notice possible. 5. Altkom Akademia reserves the right to amend the content of the "General Terms and Conditions of training courses in Altkom Akademia S.A". The amendments are regularly published on Altkom Akademia's website. The binding provisions are the ones applicable on the date of submitting the Entry Form. Warszawa – Kraków – Katowice – Poznań – Wrocław – Gdynia - Łódź