1. 2014 MSCPMP Circle
HALF YEARLY
Subscription Form

2. [New / Renew / Update] Subscriber Information
Name:
(As in Passport)
First Name:
Last Name:
(Name registered with PMI)
Company (current)
Designation: Default is PM
Correspondence address 1:
Personal address only
Date of Birth
yyyy/mm/dd 2:
Company / personal address
PMI ID:
Mobile Phone:
PMP ID:
PMP Trained by AsiaICTpm:
Yes / No
PMP Certification Date:
Joined MSCPMP Circle before (please circle) :
No:
If Yes :
2008 / 2009 / 2010 / 2011/2012/2013
ALL fields are compulsory
You may check your name registered with PMI at
IMPORTANT: 1, 2 or Mobile Phone info will be used for event notification and registration
If you have obtained your PMP from others, please a copy of your passport size photo to
The subscription information will be used for the purposes associated with the activities conducted by the Circle, e.g. announcement of events, collection of payments and distribution of newsletters. By submitting this form, I hereby consent to the collection and use of the information as described above.

3. 2014 MSCPMP Circle Subscription Fee
One time registration fee
Annual Subscription
AsiaICTpm PMP Alumni
RM100.00
RM300.00
Others
RM200.00
RM400.00
FIRST TIME Subscriber
AsiaICTpm PMP Alumni : RM100 + RM300 = RM400
PMP Trained by Others: RM200 + RM400 = RM600
Payable to MSCPMP Circle (Maybank )
Amount: ______________________ Cash / Cheque No: _______________
Bank: ______________________
Terms and conditions:
You will entitle to attend a Half Yearly Forum and one (1) additional SPECIAL EVENT free.
Earning you a total of 8 PDUs.
Enjoying 40% discount on all workshops organized by us.

4. How to make payment Direct Transfer
Transfer the fund via Maybank2u.com / Maybank’s ATM machine into our Maybank account No (account owner Advanced Technology Studies Center Sdn Bhd).
Print PDF payment receipt and the completed registration form
documents in (2) to us.
By cheque
Please cross your check and make payable to MSCPMP Circle (Maybank )
Bank in the cheque via Maybank’s ATM machine and scan or fax bank in receipt.