PAYMENT METHOD

REGISTRATION INFORMATION

The total amount must be paid in advance of the event. Walk-in delegates with payment will be admitted only on a ‘space availability’ basis.

MODE OF PAYMENT:

:

By registering for the SPAD LPT Symposium 2016, I accept the terms & conditions on the back of this page

Date: ____________________________________

Signature: ____________________________________

SURUHANJAYA PENGANGKUTAN AWAM DARATLAND PUBLIC TRANSPORT SYMPOSIUM 2016

Yes, I will attend Gala Dinner Table only Symposium only Gala Dinner Table & Symposium

“Public Transport: Transforming the Nation”

LPT Symposium & Exhibition 2016

Monday, 17th October 2016Plenary Hall

KL Convention Centre

“PUBLIC TRANSPORT:

LPT SYMPOSIUM 2016

TRANSFORMING THE NATION”

Liaison Person

Gala Dinner & Industry Awards

Symposium

REGISTRATION FORM

BANK DRAFT /CHEQUEBANK DRAFT / CHEQUE NO: _____________________ BANK: _____________________

AMOUNT: _____________________________________

Cheques or bank drafts should be crossed and made payable to Kumpulan Wang Suruhanjaya Pengangkutan Awam Darat

BANK TRANSFERPAYEE NAME: Kumpulan Wang Suruhanjaya Pengangkutan Awam DaratBANK : Maybank Islamic BANK BRANCH : KL SentralACCOUNT NO 564717003707 SWIFT CODE : MBBEMYKLBANK ADDRESS: Lot No. 7, 8 & 9, Departure Hall, KL Sentral, 50470 Kuala Lumpur

Please send the proof of payment and a copy of your registration form to ashoklpts@spad.gov.my after payment has been made.

CASH

Gala Dinner & Industry Awards 2016

Sunday, 16th October 2016Conference Hall 1, 2 & 3 KL Convention Centre

List of Delegates

Kindly send / email this entire form to:Address : Suruhanjaya Pengangkutan Awam Darat (SPAD) Block D, Platinum Sentral, Jalan Stesen Sentral 2 Kuala Lumpur Sentral, 50470 Kuala Lumpur, Malaysia Email : ashoklpts@spad.gov.myWebsite : www.spad.gov.my

If you have any questions regarding:

Ashok Panchalingam Tel: +603 2726 7366 ashoklpts@spad.gov.myEmail:

TOTAL AMOUNT: RM

• Registration or payment of the Symposium, contact

• Purchasing of tables at the Gala Dinner, contact:Yusnaida Yasin Tel: +603 2726 7197Email: yusnaida@spad.gov.my

Purchase of Symposium Passes Number of Passes Type of Pass Price per Pass Notes

Early Bird Pass RM 390.00 Available up to and including 15th September 2016

Tri-Pass

RM 360.00

(1) For 3 passes only; and

(2) Available up to and including 7th October 2016

Group Pass

RM 330.00

(1) For minimum of 4 passes and above; and

(2) Available up to and including 7th October 2016

Regular Pass RM 500.00 Available up to and including 14th October 2016

Walk-in Pass RM 550.00 Available on 15th October 2016, 16th October 2016 and 17th October 2016

Purchase of Gala Dinner & Industry Awards Table Number of Tables Type of Table Price per Table

Regular RM 8,000.00

List of Delegates for Symposium

No Name Position E-mail Direct Line PhoneNo. (if any)

Company PhoneNo.

Organisation Name(if different from above)

Mailing Address (if different from above)

TERMS & CONDITIONS / SUBSTITUTION / CANCELLATION

• Registration forms to be sent to SPAD by hand or email only. • The registration form serves as a contract between the participant and SPAD. Thus only fully completed registration forms will be accepted. • Registration fees do not include flights or accommodation. As soon as your registration form is received, you will receive a confirmation email. • If payment is to be effected by bank transfer, please ensure that all costs for the transfer are borne by the payee and payment is effected NETT. Bank charges have to be borne by the participant.• If making payment by cheque, please state name of company, contact person and contact phone number at the back of the cheque. Email the copy of the bank-in slip to ashoklpts@spad.gov.my.• Please send proof of payment and reference number to ashoklpts@spad.gov.my after payment has been made. • Please note that payment needs to be cleared in our account by 14 OCTOBER 2016 and that entrance to the dinner and / or conference is assured only upon receipt of full fees. • Registered participants whose payment is not received in our account will not be allowed to participate in the Symposium. • The organisers reserve the right to stop any registered delegate from taking part in the Symposium if no proof of payment can be presented.• If a delegate cannot attend the event, we will accept a substitute colleague. • All requests for substitutions must be submitted BEFORE 11 OCTOBER 2016 indicating the name of the cancelled delegate and the substitute.• The substitute must be from the same organisation. • For cancellations, a refund minus 20% service charge will be sent to the said delegate if cancellation is received in WRITING by 11 OCTOBER 2016. The refund will be made, payable within 30 days.• No refund will be made for cancellation received after 11 OCTOBER 2016. • No-shows will not qualify for a refund of fees.• These rules are also applicable for group delegates. • SPAD reserves the right to make amendments to the programme or any related activities at its discretion.

Kindly send / email this entire form to:

Address : Suruhanjaya Pengangkutan Awam Darat (SPAD) Block D, Platinum Sentral, Jalan Stesen Sentral 2 Kuala Lumpur Sentral, 50470 Kuala Lumpur, Malaysia Email : ashoklpts@spad.gov.myWebsite : www.spad.gov.my

If you have any questions regarding:

• Registration or payment of the Symposium, contact: (1) Ashok Panchalingam Tel: +603 2726 7366 Email: ashoklpts@spad.gov.my (2) Raja Nur Farzana Tel: +603 2726 7360 Email: zanalpts@spad.gov.my (3) Roza Amira Tel: +603 2726 7333 Email: rozalpts@spad.gov.my (4) Saira Banu Tel: +603 2726 7102 Email: sairalpts@spad.gov.my

• Purchasing of tables at the Gala Dinner and Industry Awards, contact:

(1) Surina Adnan Tel: +603 2726 7024 Email: surina@spad.gov.my (2) Yusnaida Yasin Tel: +603 2726 7197 Email: yusnaida@spad.gov.my