U.A.E.
P.O. Box 24459, Dubai
Tel: +971 4 3124376
Fax: +971 4 3124377
intech@emirates.net.ae


KUWAIT
P.O. Box 3356, Salmiya 22034
Tel: +965 2 5723540
Fax: +965 2 5723541
info@intech-online.com

  Program Details
  Program Name :  
  Program Location :  
  Program Date :  
 Nominees Details

Sl. No.

Prefix

Full Name

Job Title

Email

Tel

Mobile

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 Company Details
  Company Name :  
  P.O. Box :  
  City & Postal Code :  
  Country :  
  Telephone :  
  Fax :  
  Email * :  
  URL (if any) :  
  Business Classification :  
 Management Approval
  Manager Name :  
  Job Title :  
  Telephone :  
  Email :  
 Payment Details
  Name of Funding Body :  
  Payment Method :  Wire Transfer Draft Check
  Bill my company Credit Card
  Credit Card Type :  
  Credit Card Number :  
  Expiry Date :  
  Name of Card :  
 Hotel Accommodation
  Do you require hotel accommodation :  Yes No
  Arrival Date :  
  Arrival Time :  
  Flight Details :  
  Departure Date :  
 Other Comments
 

General Information
Program fees must be paid in full at least 4 weeks before the start of each program.
Places are not confirmed until payment has been received.
Payments should be made by transfer into the following current account:
Name of Account : INTECH International
Name of Bank : National Bank of Kuwait
(Ras AL-Salmiya Branch) – Kuwait
Account No. (US$) : 0473741010301
Routing No. : NBOKKWKW

  Intech International
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