REGISTRATION FORM

27th – 28th April 2018(Fri-Sat), 3rd-5th May 2018(Thu-Sat)

Name: _________________________________________________________________________

Membership No. Registration No. ___________________ Designation: __________________

Organization: _________________________________________________________________

Org. Address Postal: _______________________________________________________________

________________________________________________________________________________

Phone No.__________________________ Cell No. _____________________________________

Email: _________________________________________________________________________

Mode of Payment: By Crossed Cheque:_____________ Pay Order:______________________

Online Credit Card:____________________________________________________ (For Members Only)

Signature: __________________

For Office Use Only

Receipt No. ____________ Date: _____/_____/2018 Amount Rs. ______________________

Signature: __________________

3‐8306003 Eil: cpd_lhr@icmap.com.pk ICMA‐Pakistan Building, 42‐Ferozpur Road, Lahore UAN: 042‐111 042 262

Contact Person: Habib-ullah Shami, Officer (CPD) ICMA Pakistan Building, 42-Ferozpur Road, Lahore

UAN: (042) 111-042-262 Ext 31 | Direct: +92-42-992 14698 | Mobile: 0333-830 6003