Labuan Life Broker Induction Course 20th - 21st October 206 Registration

Labuan Life Broker Induction Course (LLBIC) Registration Form

Tuesday - Wednesday, 20th - 21st October 2026
Seminar: Labuan Life Broker Induction Course (LLBIC)
Date: Tuesday - Wednesday, 20th - 21st October 2026
Time: 9:00am - 5:00pm
Venue: Concorde Hotel Kuala Lumpur, Malaysia.

Registration closes: 14th October 2026 (Please note that registration is on a first-come-first served basis and it might be closed earlier than the stipulated deadline upon reaching the maximum number of participants)

FEE: MYR 1,000.00/participant
- No refund or cancellation is allowed upon registration.
- Seat(s) are confirmed upon receipt of full payment before the closing date.
  There is no extra charge for substitute participant.
- Please inform LIIA @ secretariat@liia-labuan.org of your replacement details before the closing date.
- Full refund will be granted in the event of cancellation of the programme by LIIA.
Reference: LIIA/AMLA-LLBIC/202610-02
- Company Name
- Contact Person Full Name
- Contact Person Designation / Position
- Contact Person Email Address
  example@example.com
- If you wish to register more than 4 participants, please submit using second form
- Participant 1 - Full Name
- Participant 1 - Designation / Position
- Participant 1 - Email Address
  example@example.com
- Is the Participant 1 vegetarian?
- Do you wish to register another Participant?
- Participant 2 - Full Name
- Participant 2 - Designation / Position
- Participant 2 - Email Address
  example@example.com
- Is the Participant 2 vegetarian?
- Do you wish to register another Participant?
- Participant 3 - Full Name
- Participant 3 - Designation / Position
- Participant 3 - Email Address
  example@example.com
- Is the Participant 3 vegetarian?
- Do you wish to register another Participant?
- Participant 4 - Full Name
- Participant 4 - Designation / Position
- Participant 4 - Email Address
  example@example.com
- Is the Participant 4 vegetarian?
- I/We hereby give consent to LIIA to process and but not limited to collect, use, hold, store or disclose my/our personal data herein contained in this e-form for the purpose and to the extent as permitted by the relevant laws.
- Name of Authorized Signatory
- Designation / Position
- Upload Payment Advice (Proof of Payment for Official Receipt redemption):
  
  Cancelof
Should be Empty: