Forum on Creativity in the Arts, Science & Technology 2006
Date
:
17 & 18 November 2006 (Fri & Sat)
Venue
:
Spring Singapore
2 Bukit Merah Central, Singapore 159835
REGISTRATION FORM
Please fill in the following information to complete your registration. Fields with
*
are compulsory fields.
Name
*
Prof
Dr
Mr
Mrs
Ms
Name of Organisation
Mailing Address
*
Contact No.
*
Fax No.
Email
*
Total No. of Participants
*
Registration Fee
• S$30 for adults • S$15 for students
(inclusive of lunches and refreshments for the 2 days)
For group registration, please fill up the following section
Name of Participants
NRIC No.
Occupation
Adult/Student
Email
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Adult
Student
Please note the following:
Closing date of registration : 10 November 2006
All cheques should be crossed and made payable to “
Tan Kah Kee Foundation
”.
Please send the completed form together with your cheque to:
Olive Consulting Group Pte Ltd
231A South Bridge Road
Singapore 058780
Tel: 6325 6030
Fax: 6221 4511
All participants are to be seated by 8.45am on both days
Organised by : Tan Kah Kee Foundation
National Arts Council
Singapore National Academy of Science