Registration for Basic Training 2013 (2nd Half) Date 7th - 11th October 2013 Where Phoenix Contact (SEA) Pte Ltd Technopark @ Chai Chee, 750C Chai Chee Road, #01-09/10 Singapore 469003 Please complete all fields. Section 1 Name Date of Birth 123456789101112131415161718192021222324252627282930311617JanFebMarAprMayJunJulAugSepOctNovDec190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013 Designation Company Country SingaporeMalaysiaVietnamPhilippinesIndonesiaThailandOthers Email Contact Section 2 Arrival Date 123456789101112131415161718192021222324252627282930Oct2013 Arrival Time Flight Number Departure Date 123456789101112131415161718192021222324252627282930Oct2013 Departure Time Flight Number Hotel Grand Mercure Roxy HotelOthers - I will make my own arrangements (For Overseas Participants Only) Food Preferences No preferenceHalalVegetarian Notes 1) We recommend that you choose to stay at the official designated hotel, which is Grand Mercure Roxy Hotel. If you do not wish to stay at this hotel, please note that you will have to make your own bookings and transport to the hotel for the training 2) Please bring your laptop for this training 3) Please note that closing date for registration is 20th September 2013 If you have any questions about this event, please contact: Mr Melvin Sim melvinsim@phoenixcontact.com.sg