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Please Fax or Email your Registration Form to GIA. SERIES 4 MARITIME KNOWLEDGE SHIPPING SESSIONS MARITIME KNOWLEDGE SHIPPING SESSION 12 1 0 MARCH 2010, WEDNESDAY 2PM TO 5.30PM Capital Tower, Level 9, STI Auditorium, Singapore 068912 REGISTRATION FORM To register, simply complete all sections of this form and return it to: General Insurance Association of Singapore 112 Robinson Road, #05-03 , Singapore 068902 Tel: +65 6221 8788 Fax: +65 6227 2051 E-Mail: hockyew.yeo@gia.org.sg Name NRIC/Passport No. Gender  Mr.  Ms. Designation Department Email Address Company Tel (Office) Tel (Mobile) Address Would you like to be updated about future GIA technical knowledge seminars?  Yes, please include me for future GIA technical knowledge seminar  No, please do not include me for any future correspondence Please Fax or Email your Registration Form to GIA. Closing Date: 3 Mar 2010, Wednesday