Registration

Thank you for registering to attend the Know-Your-Customer (KYC) and Suspicious Indicators Training for Chemical Suppliers and Distributors. This workshop will be held 18-20 November 2024 in Bangkok, Thailand.

PERSONAL INFORMATION

First Name  

Middle Name

Last Name  

Gender  

MF

Date of Birth   Enter a date in the format YYYY-MM-DD

Birth City  

Birth Country  

Country(ies) of Citizenship  

Passport Number  

Passport Expiration Date  

Passport Upload  

Departure Airport  

EMPLOYMENT INFORMATION

Job Title  

Company Name  

Company Address  

Company City  

Company Country  

Business Phone  

Mobile/Cell Phone   In case there are issues during travel

Your E-Mail Address  

EVENT INFORMATION

Name Tag Information   How your name will appear on your name tag and certificate.

Do you have any special dietary needs?  

None Gluten Free Vegetarian Lactose Intolerant Vegan Nut allergy Kosher Halal

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