On-line Conference Registration

Registration Form

Personal Details of Delegate (Fields marked with * are mandatory)
Full Name * (e.g. Steven Tan)
Family Name/Surname* (e.g. Tan)
Name to appear on conference badge *
Name of Company * (e.g. Insurance Company Pte Ltd, XYZ Pte Ltd)
Industry Segment * Others (Please specify below)
Job Title / Designation*
Mailing Address *

City/State
Postal Code*
Country *
Telephone *
Fax *
E-mail *
Secretary's E-mail (if any)
Additional Information Please tick the appropriate checkbox

This is my first time attending an SIRC event.

I will require a Letter of Invitation from the Organiser for visa application purposes.

My passport details are as follows:
Passport number:
Full name (as in passport):
Country of Issue:
Catering Arrangements The 14th SIRC Organising Committee will cater light breakfast for registered delegates at the Bayview Foyer, Level 4, Sands Expo and Convention Centre, from 7am to 9am on 1 and 2 November 2017.

All meals served at the Conference will be prepared without pork and lard. To cater to the special dietary needs of delegates, a separate vegetarian section will be provided and all dishes containing beef will be clearly marked.
Regular Fee S$1480 per Delegate 
Conference Fees
Early Registration Fee
(until 30 June 2017)
S$1,180
Regular Fee
(from 01 July 2017)
S$1,480
Total Fees Payable
S$
Mode of Payment
By telegraphic transfer (in Singapore dollars) to :

Beneficiary: Singapore College of Insurance Limited
Bank Account No: 001-053726-1
Bank Name: DBS Bank Limited
Bank Branch: Shenton Way
Bank Address: 12 Marina Boulevard, Marina Bay Financial Centre Tower 3. Singapore 018982
Bank Code: 7171
Branch Code: 001
Swift Code: DBSSSGSG

* I will undertake to indemnify the organisers for all bank charges.
By Credit Card (VISA or MasterCard only)
By cheque/draft in Singapore dollars drawn on a Singapore bank and made payable to the "Singapore College of Insurance Limited"
Complimentary. Please enter Complimentary Code:
Cancellation / Substitution Policy

Any cancellation of registration notified in writing before 30 September 2017 will be allowed subject to payment of an administration fee of S$250. No refunds will be allowed for cancellations notified thereafter. However substitution or replacement of delegates will be allowed.

Please check and print a copy of the completed online Registration Form, if needed, before submission.
I have read and understood the Privacy Policy with regards to the Collection, Use, Disclosure and Safeguard of my personal information.

Copyright © 2015 Singapore College of Insurance Limited. All Rights Reserved by SCI.
Privacy Policy