Assessment Literacy (4-Day Online Course)

ASSESSMENT LITERACY (4-Day Online Course)

WORKSHOP REGISTRATION FORM
Presenter: Dr Dylan Wiliam

Date & Time: 26 & 29-31 August 2022 (Fri & Mon-Wed), 8:00am to 9:30am SGT

Venue: Online via Zoom

Workshop Registration Fee (nett per pax):

First 2 participants: S$265.00

Next 2 participants: *S$245.00

Subsequent participants: *S$225.00

[*The discounted tier fee only applies to participants from the SAME organisation registering for the SAME session.]

Early Bird: Register by 09 Apr 2022 (incl.) for additional 10% discount.

Registration Closing: 06 Aug 2022

Other information:

1. Please ensure accuracy of information before submitting your registration. Fields marked with * are compulsory to fill in.

2. After your submission, participants, liaison and finance officer will each receive an auto-acknowledgement email. A place will be reserved for the participant(s) once you have registered successfully. A confirmation email with the relevant details will be sent to all registered participants at least one week before the session. If you do not receive our email in your 'Inbox', kindly check your 'Junk' or 'Spam' folders first before contacting us.

3. Notice period for Withdrawal/ Penalty charges:

More than 14 days: 50% of registration fee
14 days or less: 100% of registration fee
No-show: 100% of registration fee

4. Illumien Asia accepts one-to-one replacement for registered participants who are unable to attend for various reasons. For such cases, kindly inform Illumien Asia beforehand if possible so that the participants' records are up-to-date.

5. Illumien Asia reserves the right to change or cancel the workshop due to low participation or unforseen circumstances. In the event of a cancellation, all registrants will receive full refund.

6. For large group registration (7 or more participants), you may download the group registration form from our website or request from us. Submit the completed form to email: admin@illumien.asia

7. Should you require any clarification, please contact Illumien Asia at tel: +65 83189406 or email: admin@illumien.asia
Full Name of Organisation: *
Please state the full name of the organisation for billing purposes e.g. ABC International School Pte. Ltd.
Participant 1
Honorific/Title: *
E.g. Mr/Ms/Mdm/Dr
Name of Participant 1: *
Position: *
Subject Specialisation:
E.g. Maths/Physics
E-mail: *
example@example.com
Contact Number: *
Extension (if any):
Participant 2
Honorific/Title:
E.g. Mr/Ms/Mdm/Dr
Name of Participant 2:
Position:
Subject Specialisation:
E.g. Maths/Physics
E-mail:
example@example.com
Contact Number:
Extension (if any):
Participant 3
Honorific/Title:
E.g. Mr/Ms/Mdm/Dr
Name of Participant 3:
Position:
Subject Specialisation:
E.g. Maths/Physics
E-mail:
example@example.com
Contact Number:
Extension (if any):
Participant 4
Honorific/Title:
E.g. Mr/Ms/Mdm/Dr
Name of Participant 4:
Position:
Subject Specialisation:
E.g. Maths/Physics
E-mail:
example@example.com
Contact Number:
Extension (if any):
Participant 5
Honorific/Title:
E.g. Mr/Ms/Mdm/Dr
Name of Participant 5:
Position:
Subject Specialisation:
E.g. Maths/Physics
E-mail:
example@example.com
Contact Number:
Extension (if any):
Participant 6
Honorific/Title:
E.g. Mr/Ms/Mdm/Dr
Name of Participant 6:
Position:
Subject Specialisation:
E.g. Maths/Physics
E-mail:
example@example.com
Contact Number:
Extension (if any):
Liaison Officer

(Person I/C of registering and coordinating workshop details/updates with participants)
Honorific/Title: *
E.g. Mr/Ms/Mdm/Dr
Name of Liaison Officer: *
Position: *
E-mail: *
example@example.com
Contact Number: *
Extension (if any):
Payment Details
Finance Officer:

Same Particulars as Liaison Officer
Honorific/Title: *
E.g. Mr/Ms/Mdm/Dr
Name of Finance Officer: *
Position: *
E-mail: *
example@example.com
Contact Number: *
Extension (if any):
Payment Mode: *
Select a payment mode.
Please note the following for payment:
- E-invoice via IFAAS only applies to Singapore government agencies i.e. MOE schools/HQ.
- For payment by bank/telegraphic transfer or PayNow, an invoice will be sent to the Finance Officer's email address. Please indicate the invoice number as the bill reference no.
- For PayNow payment, please select the 'PayNow to UEN' option. Please enter UEN:201724937R and indicate the invoice number as the bill reference no.
Sub-BU Code:
If you have selected 'E-invoice via IFAAS', please state the sub-business unit code of your organisation. Otherwise, please leave this field blank.
Billing Address: *
Note to Organiser:
Leave this empty if you have no special remarks
Note to Presenter:
Leave this empty if you have no special remarks
Should be Empty:

ASSESSMENT LITERACY (4-Day Online Course)

Participant 1

Participant 2

Participant 3

Participant 4

Participant 5

Participant 6

Liaison Officer

Payment Details