BIT Education – Networking Training Center, Jakarta

PERSONAL PARTICULAR

Full Name *

No KTP *

Place of Birth *

Date of Birth (dd/mm/yyyy) *

Sex *

Male Female

Home Address *

City *

Postal Code *

E-Mail *

Phone *

Handphone *

ACADEMIC & EMPLOYEMENT

Highest Education *

Company Name

Title/Job Function

PREFERRED CLASS SCHEDULE

(Subject to the availibility of classes and maybe changes)

Course Program *

Security Code *

TERMS AND CONDITIONS

(1)	Enrollment will only be confirmed when the applicable fees are paid 7 (seven) days or more prior to the commencement of the course(s). BIT Education reserves the right to offer unpaid seat(s) to the other participants within this period without notice.
(2)	Enrollment will only be confirmed when faxed/emailed along with the transfer receipt. Please send your receipt via fax, email, or directly to our office.
(3)	Course schedule is tentative and based upon a minimum class size (5 persons). BIT Education reserves the right to postpone any course if the class size renders the course is not satisfactory.
(4)	Cancellation of fee before the course begin will be refunded: * 100% if written notice of cancellation is given 5 (five) working days prior to the course date. * 50% if less than 5 (five) working days written notice is given.
(5)	Cancellation of fee on the day and after the course started will not be refunded.
(6)	Please note the above terms and conditions has been fulfilled by attendee.
	Please remit the payment to : Bank BCA Cab. Pondok Indah A/C No: 237.013.7733 Benefeciary : Andrew Marcello / Daniel Haryanto or Bank Mandiri Cab. Wisma Indocement A/C No : 122.000.456.6421 Benefeciary : Daniel Haryanto

(*) Require Fields