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FIVE EASY WAYS TO REGISTER: POST: Events team, Commonwealth Business Council, 18 Pall Mall, London SW1Y 5LU, UK ONLINE: www.cbcglobal.org FAX: +44 (0)20 7024 8201 PHONE: +44 (0)20 7024 8200/8271/8211/8219 EMAIL: [email protected] Delegate Details - ALL FIELDS MUST BE COMPLETED IN BlOCK CAPITALS Applicant Type: Delegate Spouse/Partner Title: First Name(s): Surname: Name of Accompanying Spouse/Partner: if applicable Date of Birth: YYYY/MM/DD Gender: Male/Female Country of Birth: Country of Citizenship: Passport Number: Flight Details Country of Issue: Arrival Date: YYYY/MM/ DD ID Expiry Date: YYYY/MM/DD Arrival Time: Organisation Name: Flight No. Sector/Industry: Return Date: Job Title: Dep. Time: Email: Flight No. Direct Phone: Mobile/Cell Phone: . Employer’s Address: Residential Address: Town/City: Town/City: Post/Zip Code: Country: Post/Zip Code: Country: Please Attach Photo Full colour Taken in the past six (6) months Image must be set against a light-coloured, plain background and must occupy at least two-thirds (2/3) of the space 50 mm x 70 mm Electronic format: I Agree to be bound by the CBC’s Terms Conditions and Cancellation policy Signature: Date: Payment must accompany your registration form. Forum registration cannot be confirmed until payment is received Credit Card - charges as per this form are to be debited to: MasterCard Visa American Express(3.5 % charge) Name on card: Valid from: Expiry date: Credit card number: Security Code: OR GBP Bank Transfer/BACs - Kindly attach a copy of the teller/cheque as proof of payment to confirm registration, using delegate name as reference Bank: HSBC Account Name: Commonwealth Business Council Limited Account No: 8159 2076 Sort Code: 40 - 05 - 20 Swift Code MIDLGB22 IBAN No GB82MIDL40052081592076 Registration Fees Early Bird - Before 31/07/13 Delegate Fee - After 01/08/13 Delegate Fee: GBP 650 GBP 1000 Spouse / Partners: GBP 325 GBP 500 CBC Member: If you are unsure of your membership status with the CBC please email [email protected] prior to registering Accommodation & Visa Following successful registration and payment CBC will provide a welcome pack containing: Visa for travel to Sri Lanka Details on how to book accommodation at the conference hotel The pack will usually be sent out within 7 days of registration Terms and Conditions 1. CBC reserves the right to cancel a registration, in this case a full refund of the registration fee will be made. 2. I consent to the disclosure and subsequent verification of information concern- ing my date of birth, address, employment criminal security check and photo. I also certify that the information I have provided is true and correct to the best of my knowledge and belief. 3. Reservations will be confirmed in writing by CBC. 4. 20% UK VAT applicable to organisations registered within the EU only. 5. The CBC reserves the right to postpone events or amend the programme. 5. This booking form constitutes a non-cancellable binding contract and firm commitment to the CBC subject to the cancellation policy thereafter. 6. This contract has been drawn up in writing; verbal agreement has not been made. 7. The delegate price does not include travel, accommodation or additional related expenses. 8. Bookings are only valid when signed and dated. Cancellation Policy Cancellations must be received in writing no later than 30/09/13, and will be subject to a 20% cancellation fee unless a substitute delegate is nominated. Cancellations received after 30/09/13 will be liable for the full registration fee, however substitutions will be accepted. Cancellations must be acknowledged in writing by the Commonwealth Business Council.

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Page 1: Registration Form

F I V E E A S Y W A Y S T O R E G I S T E R :

POST: Events team, Commonwealth Business Council, 18 Pall Mall, London SW1Y 5LU, UK

ONLINE: www.cbcglobal.org

FAX: +44 (0)20 7024 8201

PHONE: +44 (0)20 7024 8200/8271/8211/8219

EMAIL: [email protected]

Delegate Details - ALL FIELDS MUST BE COMPLETED IN BlOCK CAPITALS

Applicant Type: Delegate Spouse/Partner

Title: First Name(s):

Surname:

Name of Accompanying Spouse/Partner: if applicable

Date of Birth: YYYY/MM/DD Gender: Male/Female

Country of Birth: Country of Citizenship:

Passport Number: Flight Details

Country of Issue: Arrival Date: YYYY/MM/

DD

ID Expiry Date: YYYY/MM/DD Arrival Time:

Organisation Name: Flight No.

Sector/Industry: Return Date:

Job Title: Dep. Time:

Email: Flight No.

Direct Phone: Mobile/Cell Phone: .

Employer’s Address: Residential Address:

Town/City: Town/City:

Post/Zip Code: Country: Post/Zip Code: Country:

Please Attach Photo

Full colour

Taken in the past six (6)

months

Image must be set against

a light-coloured, plain

background and must

occupy at least two-thirds

(2/3) of the space

50 mm x 70 mm

Electronic format:

I Agree to be bound by the CBC’s Terms Conditions and Cancellation policy

Signature:

Date:

Payment must accompany your registration form. Forum registration cannot be confirmed until payment is received

Credit Card - charges as per this form are to be debited to: MasterCard Visa American Express(3.5 % charge)

Name on card: Valid from: Expiry date:

Credit card number: Security Code:

OR

GBP Bank Transfer/BACs - Kindly attach a copy of the teller/cheque as proof of payment to confirm registration, using delegate name as reference

Bank: HSBC Account Name: Commonwealth Business Council Limited Account No: 8159 2076 Sort Code: 40 - 05 - 20

Swift Code MIDLGB22 IBAN No GB82MIDL40052081592076

Registration Fees Early Bird - Before 31/07/13 Delegate Fee - After 01/08/13

Delegate Fee: GBP 650 GBP 1000

Spouse / Partners: GBP 325 GBP 500

CBC Member: If you are unsure of your membership status with the CBC please email

[email protected] prior to registering

Accommodation & Visa Following successful registration and payment CBC will provide

a welcome pack containing:

Visa for travel to Sri Lanka

Details on how to book accommodation at the conference hotel

The pack will usually be sent out within 7 days of registration

Terms and Conditions

1. CBC reserves the right to cancel a registration, in this case a full refund of the

registration fee will be made.

2. I consent to the disclosure and subsequent verification of information concern-

ing my date of birth, address, employment criminal security check and photo. I

also certify that the information I have provided is true and correct to the best of

my knowledge and belief.

3. Reservations will be confirmed in writing by CBC.

4. 20% UK VAT applicable to organisations registered within the EU only.

5. The CBC reserves the right to postpone events or amend the programme.

5. This booking form constitutes a non-cancellable binding contract and firm

commitment to the CBC subject to the cancellation policy thereafter.

6. This contract has been drawn up in writing; verbal agreement has not been

made.

7. The delegate price does not include travel, accommodation or additional

related expenses.

8. Bookings are only valid when signed and dated.

Cancellation Policy

Cancellations must be received in writing no later than 30/09/13, and will be subject to a 20%

cancellation fee unless a substitute delegate is nominated. Cancellations received after

30/09/13 will be liable for the full registration fee, however substitutions will be accepted.

Cancellations must be acknowledged in writing by the Commonwealth Business Council.