Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. EXIT If you wish to attend the workshop, please fill in the application form below: OK Question Title * 1. Company Details Company Name Address Contact Person Mobile Telephone Fax Email OK Question Title * 2. Member or Non Member (Please tick as appropriate) Member Non Member OK Question Title * 3. Participant’s Details Mr/Mrs/Miss Surname Forenames Job Title NIC No. Tel Office Mobile Email Address OK (SCAN COPY OF NIC TO BE SUBMITTED) OK Question Title * 4. Qualifications (Please tick as appropriate) SC HSC Others OK Question Title * 5. Payment Details (Please tick as appropriate) Cheque Cash Bank Transfer OK Cheques shall be drawn to the order of Business Mauritius and shall accompany the Application Form. OK Bank DetailsBank Name: The Mauritius Commercial Bank LtdBank Address: P.O Box 52, Sir William Newton Street, Port LouisBank Account Number: 000010204075IBAN Number: MU16MCBL0901000000204075000MURSwift Code: MCBLMUMU OK Payment shall be made at latest by the registration date. OK Thank you for filling out the form. Please rest assured that your company's information provided will remain confidential.This form is for ONE participant ONLY. Business Mauritius, BM-MCCI Building, Rue du Savoir, Ebène Cybercity, EbèneTel: 466-3600 Fax: 465-8200 Email: training@businessmauritius.org OK DONE
