Registration Form PSP 2021

The JAMAICA CHAPTER OF ASIS INTERNATIONAL

Presents its
JOHN E. REID & ASSOCIATES' 3-DAY COURSE

AT THE JAMAICA CONFERENCE CENTRE ON SEPTEMBER 26 - 28, 2023
REGISTRATION FORM
1. Please select your course.

3 Day Investigative Interviewing & Positive Persuasion Course
2. Full Name:

First NameMiddle InitialLast Name
3. Mobile No.:

Area CodePhone Number
4. Email Address:
example@example.com
5. Job Title:
6. Department:
7. Name of Employer:
8. Name of person who recommended you for the course:
9. Employer's Address:
10. Membership Status:
ASIS Number:
11. Special Dietary Requirements:
12. Name and Telephone of Emergency Contact
13. Payment Details:
Declaration:

I hearby declare that the answers and statements given on this registration form are both truthful and accurate.
Signature:*

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