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C L A R I D E N Singapore | Sydney | Melbourne | Dubai | Hong Kong |
London | New York | San Francisco | Toronto | Auckland
ARTIFICIAL INTELLIGENCE MASTERCLASS
July 25 - 26
AUSTRALIAInterContinental Sydney, Australia
2017
CLARIDEN GLOBAL DISRUPTIVE TECHNOLOGY LEADERSHIP INSTITUTE
CLARIDEN CREDENTIALS AND ENGAGEMENTClariden Global is the pre-eminent and infl uential global business leadership institution. Today, we host
more than 200 global executive education and major conference events around the world. We have partnered
with professional organizations such as the Association of Chartered Certifi ed Accounts (ACCA) and thought
leaders from prestigious universities such as Harvard University John F. Kennedy School of Government,
Wharton School of the University of Pennsylvania and Stanford University.
The Clariden Experience
Why Clariden Global Executive Education?
Artifi cial Intelligence Masterclass
5 Program Introduction
7 Faculty Director
8 Program Overview
9 Program Outline
Participating Companies
Testimonials
In-house Custom Executive Programs
Contact Us
Registration
3
4
5
11
12
13
14
15
CONTENTS
To maximize both your enjoyment and professional development, Clariden Global holds its executive
programs at fi ve star hotels, some of which include:
Shangri-La Hotel, SingaporeSingapore
Conrad London St JamesLondon, United Kingdom
InterContinental Melbourne The RialtoMelbourne, Australia
Grand Hyatt: Union Square San Francisco HotelSan Francisco, United States
Amidst lush gardens, this 3-wing luxury hotel is 6
km from the iconic Marina Bay Sands resort and
9 km from Sentosa.
Across the street from St. James’s Park tube
station, this sophisticated hotel is 10 minutes’
walk from Buckingham Palace and 2 miles from
the Victoria and Albert Museum.
Set in a grand 1891 building, this upscale chain
hotel is 3 blocks from the Yarra River, and an
8-minute walk from the SEA LIFE Melbourne
Aquarium.
Less than a block from Union Square, this stylish
high-rise hotel is an 11-minute walk from the
Moscone Center and 1.9 miles from Pier 39.
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected]
Terms & Conditions: Clariden Global International Limited reserves the right to change the
venue of the program due to reasons beyond their control.
THE CLARIDEN EXPERIENCEENJOY LEARNING WITH THE
FIRST-CLASS, WELL-ROUNDED EXPERIENCE
3
WHY CLARIDEN GLOBAL EXECUTIVE EDUCATION?
5,000+Companies
15+Countries
10,000+Participants
50+Industries
GLOBAL ENGAGEMENT Clariden Global is the pre-eminent and infl uential global business leadership institution. Today, we host
more than 200 Global Executive Education and major conference events across 15 countries and 17 cities,
including Singapore, London, Hong Kong, Sydney, Melbourne, Perth, New Zealand, San Francisco, Toronto,
Johannesburg, Shanghai, Beijing, Kuala Lumpur, Dubai, Toronto, The Netherlands, New York and Zurich.
INTERNATIONALLY DIVERSE, SENIOR-LEVEL PARTICIPANTSClariden Global Executive Education programs have attracted participants from more than 5,000 global
MNCs, regional corporations, and FORTUNE 500 companies, from more than 40 countries. All applications
are reviewed based on professional achievement and organizational responsibility. Designed for individuals
at all levels, from top executives to emerging leaders, each intensive program is crafted to equip leaders
with essential capabilities to improve corporate performance and position their organizations to thrive.
THOUGHT LEADERSHIPTo provide strategic insights and relevant world-class executive education to global organizations, Clariden
Global engages the best thought leaders and leading authorities from around the world. These include
professors and faculty leaders from Harvard University, Stanford University, University of Pennsylvania
Wharton, London Business School and other premium institutions to deliver transformational knowledge.
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 4
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected]
PROGRAMARTIFICIAL INTELLIGENCE
MASTERCLASS
5
FACULTY DIRECTOR
PROGRAM ESSENCE
Highly sought-after Thought Leader on Artificial Intelligence (AI) and had been invited
globally for over 60 keynote sessions related to AI including World Congress on Computation Intelligence (Brisbane) and International Symposium on Extreme Learning Machine (Singapore).
• Editor-in-Chief of Transactions on Machine Learning and Artificial Intelligence and previously
Chairman of IEEE Computational Intelligence Society (CIS) Singapore Chapter (2009 to 2011)
• Clients consulted include Hewlett Packard, Rockwell Automation, ST Dynamics, ST Kinetics, Growth Venture, Techsource and more
• Multiple Award Winner for Teaching Excellence and Author of Five Renown AI-Related Books
Dr. Er Meng Joo
Designed for professionals engaged in Artificial Intelligence including CTOs, CIOs, Developers, Researchers, and Data & Analytics professionals, this comprehensive 2-day program is designed to provide you with practical
knowledge and a clear understanding of the fundamental principles and basics of AI, its real-life applications, key
industry trends, opportunities, and potential risks to effectively prepare your organization for the AI disruptive wave.
Led by Dr. Er Meng Joo, Professor at Nanyang Technological University and Editor-in-Chief of Transactions on Machine Learning and Artificial Intelligence, he will provide you with insightful and strategic knowledge on
the key fundamentals of AI, its brief history, market trends, possibilities, and risks. In addition, he will show
you strategic frameworks and techniques used to build basic intelligent agents such as optimization of search processes, games, logic, and constraints using industry case-studies and live demonstrations including GoogleSearch, IBM Watson and Driverless Cars. You will gain clear understanding of the basics of machine learning,
DATES25 - 26 July 2017
LOCATIONInterContinental Sydney, Australia
TUITION FEESEarly Bird 1 (register and pay by 30 May 2017): AU$2,495
Early Bird 2 (register and pay by 27 June 2017): AU$2,695
Regular Tuition Fee: AU$2,795
Group discount of 10% for 2nd participant from the same organization. For limited time only by 27 June 2017,
register 3 participants and the 4th participant will receive a complimentary seat (One discount scheme
applies).
PROGRAM ADVISORZachariah Roberts Email: [email protected]
Phone: at +61 3 9909 7310
PROGRAM INFORMATION
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 6
By the end of this program, participants will be able to:
• Understand the key fundamentals of Artificial Intelligence (AI), Intelligent Agents and brief history of AI
• Gain insightful knowledge on the impact of AI, key industry trends and foresee opportunities and risks
• Learn and build basic intelligent agents (search, games, logic, constraints)
• Utilize effective frameworks and techniques for design thinking and problem solving
• Understand the basics of machine learning and cognitive computing and how it may be applied to businesses
• Learn how to automate reasoning and decision making process with AI to tackle uncertainty
• Learn from real-life AI case studies & demonstrations including Google Search, IBM Watson, Driverless Cars
• Envision the future of businesses with AI and how it may impact your organization and industry
• Layout an effective plan to prepare and capitalize the AI advancement for your organization
KEY BENEFITS
natural language processing and cognitive computing, and how these may be applied to automate reasoning and decision making processes for tackling and simplifying real-world issues and uncertainties. Furthermore, you
will envision the future of businesses with AI and layout an effective plan to prepare your organization to capitalize on the AI advancement.
Packed with real-life case studies and interactive discussion sessions, you will leave this program with practical
knowledge, powerful techniques and effective strategies to fully comprehend the AI evolution, impact and
applications to be prepared for the rising wave of AI disruption.
System Developers, Data Science, Data Analytics, Data Analyst, Research Engineers/Scientist, Business Intelligence,
Digital Transformation, Solution Architect, including other IT professionals who are interested in the fundamental
and basics understanding of the framework, techniques, opportunities and risks of AI and its applications for future
business growth.
WHO WILL ATTEND THIS PROGRAM
PROGRAMARTIFICIAL INTELLIGENCE
MASTERCLASS
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 7
Dr. Er Meng Joo is a highly sought-after Thought Leader on Artificial Intelligence (AI) and had been invited to
deliver more than 60 keynote sessions in global AI conferences including the World Congress on Computation
Intelligence (Brisbane) and International Symposium on Extreme Learning Machine (Singapore). Some of his clients
consulted include Hewlett Packard, Rockwell Automation, ST Dynamics, ST Kinetics, Growth Venture, Techsource
and more. In addition, Dr. Er was bestowed the Web of Science Top 1 % Best Cited Paper and the Elsevier Top 20
Best Cited Paper Award in 2007 and 2008 respectively. In recognition of the significant and impactful contributions
to Singapore’s development by his research projects, Dr. Er won the Institution of Engineers, Singapore (IES)
Prestigious Engineering Achievement Award twice (2011 and 2015).
Dr. Er is currently a full Professor in Electrical and Electronic Engineering, Nanyang Technological University,
Singapore. He also served as the Founding Director of Renaissance Engineering Programme, as well as Editor-in-
Chief of Transactions on Machine Learning and Artificial Intelligence and the International Journal of Electrical and
Electronic Engineering and Telecommunications.
Dr. Er has received multiple teaching awards including Teacher of the Year Award (1999), Teaching Excellence
Award (2008), Most Zealous Professor of the Year Award (2009) and Outstanding Mentor Award (2014). In addition,
he has authored five renown AI-related books including Dynamic Fuzzy Neural Networks: Architectures, Algorithms
and Applications, Engineering Mathematics with Real-World Applications, Theory and Novel Applications of Machine
Learning, New Trends in Technology: Control, Management, Computational Intelligence and Network Systems and New
Trends in Technology: Devices, Computer, Communication and Industrial Systems.
FACULTY DIRECTOR
Award-Winning Professor, Nanyang Technological University Multiple Award Winner for Teaching Excellence and Author of Five Renown AI-Related Books
PROGRAMARTIFICIAL INTELLIGENCE
MASTERCLASS
Dr. Er Meng Joo
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 8
Artificial Intelligence (AI) is changing the rules of competition and AI
revolution has been in full swing in recent news. Traditional companies
are at risk of being left behind and AI is accelerating this trend. Many
companies have begin investing heavily into AI, complementing their
core technologies and shaping new business models. However, most organization are still facing difficulties in understanding the fundamental practices and basics of AI and its opportunities, and overcoming its challenges and risks.
The problem lies in the poor understanding and knowledge that
companies have about AI and how it works. In addition, they face
difficulties in understanding key terms and application theory such as
intelligent agent, machines learning, natural language processing, and
computer vision. Many also highlighted the difficulty in laying out an
effective plan to prepare and capitalize on the AI advancement.
Without in-depth knowledge, clear understanding and good strategic
planning of AI and its applications, companies may face poor return
on investment on AI, lost of competitiveness, and eventually declining
business growth and sustainability.
Designed for professionals engaged in Artificial Intelligence including
CTOs, CIOs, Developers, Researchers, and Data & Analyticsprofessionals, this comprehensive 2-day program is designed to
provide you with practical knowledge and clear understanding of the
fundamental principals and basics of AI, its real-life applications, key
industry trends, opportunities and potential risks to effectively prepare
your organization for the AI disruptive wave.
Led by Dr. Er Meng Joo, Professor at Nanyang TechnologicalUniversity and Editor-in-Chief of Transactions on Machine Learningand Artificial Intelligence, he will provide you with insightful and
strategic knowledge on the key fundamentals of AI, its brief history, market trends, possibilities and risks. In addition, he will show you
strategic frameworks and techniques used to build basic intelligentagents such as optimization of search processes, games, logic and constraints using industry case-studies and live demonstrations
including Google Search, IBM Watson and Driverless Cars. You will also
gain clear understanding of the basics of machine learning, natural language processing and cognitive computing and how these may be
applied to automate reasoning and decision making processes for
tackling and simplifying of real-life complex issues and uncertainties.
Furthermore, you will vision into the future of businesses with AI and
layout an effective plan to prepare your organization to capitalize onthe AI advancement.
Packed with real-life case studies and interactive discussion sessions,
you will leave this program with practical knowledge, powerful
techniques and effective strategies to fully comprehend the AI evolution,
impact and applications to stay prepared and be ready for the rising AI
disruption.
OVERVIEW
PROGRAM OVERVIEWARTIFICIAL INTELLIGENCE
MASTERCLASS
Introduction to Artificial Intelligence • Understanding the history and basics of AI
• Review of the evolution of AI and its growth
• Overview of the impact of AI and key applications
• Foreseeing opportunities and risks
• Case Study and Discussions: AI applications
Intelligent Agents• Types of intelligent agents
• Identifying the running environment of agents
• Basic design thinking and problem solving strategy
• Logic
• Constraints
• Google Case Study & Demonstration: Optimization of Search Processes
Machine Learning• Understanding what is machine learning
• Fundamentals of machine learning
• Fundamentals of Data Mining
• Artificial Neural Networks
• Cognitive Computing
• Case Study and Discussions: Economy Forecasting
Natural Language Processing• What is Natural Language Processing?
• Identifying key challenges in NLP
• Statistics – Bayesian Theorem
• Hidden Markov Model
• Case Study and Demonstration: IBM Watson
DAY 1
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 9
08:30 - 18:00 / 25 July 2017
PROGRAM OUTLINEARTIFICIAL INTELLIGENCE
MASTERCLASS
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 10
Computer Vision• Computer Vision and its Applications
• Fourier Transforms and its Applications
• Feature extraction techniques
• Pattern Recognition
• Artificial Intelligence in Computer Vision
• Case Study and Discussions: Microsoft Computer Vision API
Expert System • How can computers learn from human experts?
• Inference engine and knowledge base
• Fuzzy logic theory
• Fuzzy logic control systems
• Case Study and Demonstration: Driverless Cars
Automated Reasoning• Decision making process
• GPS – General Problem Solving
• Uncertainty – Key challenges in decision making
• How can AI help in planning?
• Integrating Planning, Sensing and Acting
• Case Study and Discussions: Successful vs Poor Applications of AI
AI and the Future of Business• AI: Fuel for growth – AI research from Accenture
• Prepare the next generation
• AI in education, economy, healthcare and other traditional industries
• How can AI be used in business?
• Case Study: Companies using AI
DAY 2
08:30 - 18:00 / 26 July 2017
PROGRAM OUTLINEARTIFICIAL INTELLIGENCE
MASTERCLASS
PARTICIPATING COMPANIESMore than 5,000 companies have participated in our programs
ADVERTISING, INTERNET, MEDIA,PUBLISHINGBBC Worldwide
CNN
eBay
MediaCorp
Saatchi & Saatchi
Singapore Press Holdings
The Financial Times
The Hoffman Agency
The Walt Disney Company
Thomson Reuters
CONGLOMERATEFraser & Neave
General Electric
General Motors
Mitsubishi
Monsanto
Siemens AG
Sodexo
FINANCIAL SERVICES, INSURANCEBank of America Merrill Lynch
AIA
Allianz Global Investors
American Express
Aviva
AXA
Barclays Bank
Citibank
DBS Bank
Deutsche Bank
HSBC
JP Morgan Chase Bank
Manulife
MasterCard
Maybank
Mizuho Bank
OCBC Bank
PayPal
Prudential
Rabobank
Standard Chartered Bank
Suncorp
Swiss Reinsurance
TD Securities
Visa
Westpac
Zurich Insurance
FOOD, BEVERAGECoca-Cola Beverages
Danone
Ferrero
Heineken
McDonald
PepsiCo
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 11
GOVERNMENT, NONPROFITAustralian Securities and Investments
Commission
Central Provident Fund Board
Changi Airport Group
Economic Development Board
GIC
NSW Treasury
Serco
Temasek Group
HEALTHCARE, PHARMACEUTICALSAbbott Laboratories
Eu Yan Sang
Glaxosmithkline
Hoffmann-La Roche
Johnson & Johnson
Merck
Pfi zer
Sanofi
HOSPITALITYCapitaLand
Far East Organization
Frasers Hospitality
Hilton Worldwide
Marriott Hotels
Pan Pacifi c Hotels Group
Shangri-La Hotels & Resorts
MANUFACTURING (CONSUMER)British American Tobacco
Estee Lauder
Fonterra Brands
Heineken
Kimberly-Clark
Kraft Foods
Lego
Mars Foods
Nestlé
Procter & Gamble
Unilever
MANUFACTURING (INDUSTRIAL)Airbus
Corning Optical Communications
Daimler
Harley Davidson
Intel Semiconductor
Rolls-Royce
Volvo Group
Wearnes Automotive
OIL & GAS, NATURAL RESOURCESCaltex
Chevron
ConocoPhillips
ExxonMobil
Maersk
Petronas
Santos
Saudi Arabian Oil
Schlumberger
Shell
PROFESSIONAL SERVICESAECOM
Aon Hewitt
Ernst & Young
PricewaterhouseCoopers
RETAIL, TRADEAdidas
Cargill
DFS
Harvey Norman
Hennes & Mauritz
IKEA
L’Oreal
Marks and Spencer
NTUC Fairprice
Tesco
TECHNOLOGY, ELECTRONICS3M
Apple
Canon
Dell
Hewlett Packard
Intel Technology
Lenovo
Micron Technology
Microsoft
Oracle
SAP
Sony Electronics
TE Connectivity
TELECOMMUNICATIONSEricsson
Nokia
Olive Communications
Singtel
Starhub
Tata Communications
Telstra
Verizon
Vodafone
TRANSPORTATIONAuckland Transport
Cathay Pacifi c Airways
Dubai Air Navigation Services
New Zealand Transport Agency
Fiji Airways
Metro Trains Melbourne
NSW Trains
SBS Transit
CLARIDEN GLOBAL’S TESTIMONIALS
overview in two days
enabling me to have a
broad understanding of
key topics and theories
and a repository to go
back to if more details
are needed. Great
facilitators!
This was an excellent
session. Very informative
and a very knowledgeable
presenter. Really good and
would like to see what other
courses are available.
Commercial and Finance Officer, TDSi2
Finance Director,TE Connectivity Germany GmbH
“
“ ““
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 12
PROGRAM ADVISORZachariah RobertsEmail: [email protected]
Phone: +61 3 9909 7310
Dr. Er Meng Joo is a highly sought-after Thought Leader on Artificial Intelligence (AI) and
had been invited to deliver more than 60 keynote sessions in global AI conferences including
World Congress on Computation Intelligence (Brisbane) and International Symposium on Extreme
Learning Machine (Singapore). Some of his clients consulted includes Hewlett Packard, Rockwell
Automation, ST Dynamics, ST Kinetics, Growth Venture, Techsource and more. In addition, Dr.
Er was bestowed the Web of Science Top 1 % Best Cited Paper and the Elsevier Top 20 Best
Cited Paper Award in 2007 and 2008 respectively. In recognition of the significant and impactful
contributions to Singapore’s development by his research projects, Dr. Er won the Institution of
Engineers, Singapore (IES) Prestigious Engineering Achievement Award twice (2011 and 2015).
CONTACT US
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 13
IN-HOUSE
CUSTOM
EXECUTIVE
PROGRAMS
Clariden Global delivers custom learning programs for organizations all around the world. Whatever your business
challenges are, we create focused learning experience that enables your organization to achieve success. Through
partnerships with the most renowned thought leaders, industry experts and professors from around the world,
these in-house custom executive programs will equip you with essential skills and capabilities to develop and
implement strategies more effectively at your organization.
Engage with our thought leader today:
Award-Winning Professor, Nanyang Technological University Multiple Award Winner for Teaching Excellence and Author of Five Renown AI-Related Books
Dr. Er Meng Joo
CONTACT US
Contact Zachariah Roberts, Program Director at +61 3 9909 7310 l [email protected] 14
We encourage you to learn more about Clariden Global Executive Education custom and open-enrollment programs.
Our staff will be happy to answer your questions and help you determine the programs work best for you and your
organization.
ENQUIRY FOR THIS PROGRAMZachariah Roberts Email: [email protected]
Phone: +61 3 9909 7310
SINGAPOREEmail: [email protected]
Phone: +65 6899 5030
Fax: +65 6567 4328
Address: Clariden Global Pte Ltd
3 International Business Park #04-29,
Nordic European Centre Singapore 609927
LONDONEmail: [email protected]
Phone: +44 (0) 20 7129 1222
Fax: +44 (0) 84 3218 0413
Address: 1 King Street London,
EC2V 8AU United Kingdom
AUSTRALIAEmail: [email protected]
Phone: +61 3 9909 7310
Fax: +61 3 9909 7788
Address: Clariden Global Pty Ltd
530 Little Collins Street, Level 1
Melbourne VIC 3000, Australia
CUSTOMIZED PROGRAMSZachariah Roberts Email: [email protected]
Phone: +61 3 9909 7310
REGISTRATION & PAYMENT MATTERSEmail: [email protected]
Phone: +61 3 9909 7310
REGISTRATION
C L A R I D E N
Program (25 - 26 July)Artifi cial Intelligence Masterclass AU$2,495 AU$2,695 AU$2,795
PROGRAM FEES
Program1st Early Bird Fee
(If payment & registrations are received
by 30 May 2017)
2nd Early Bird Fee(If payment &
registrations are received by 27 June 2017)
Regular Fee Per Participant
InterContinental Sydney, Australia
25 – 26 July 2017
117 Macquarie St,
Sydney NSW 2000, Australia
+61 2 9253 9000
http://www.ihg.com/intercontinental/hotels/gb/en/sydney/sydha/
hoteldetail
Email: [email protected]
Fax: +61 3 9909 7788
Call: +61 3 9909 7310
Website: www.claridenglobal.com
By Cheque/ Bank Draft
By Telegraphic Transfer
By Credit Card
Group discount of 10% for the 2nd participant from the same organization.
For limited time only by 27 June 2017 register 3 participants and the 4th
participant will receive a complimentary seat.
*One discount scheme applies.
An invoice and registration confi rmation will be sent within 7 days, please
contact us if you have not heard from us within 7 days. Payment details will
be sent together with the invoice based on your preferred payment method.
ALL PAYMENTS MUST BE RECEIVED IN ADVANCE OF THE EVENT.
Accommodation is not included in the program fee but you will be entitled
to use our corporate rate for your accommodation. Information will be sent
along with your registration confi rmation.
Once we have received your booking, the place(s) are confi rmed. No refunds
will be made for any cancellations, however, program credits of equivalent
value only applicable for Clariden Global events will be provided. Credits
can only be redeemed for 1 program and is valid for only one (1) year from
date of issue.
Substitution with a qualifi ed candidate is allowed by providing at least 5
working days of advance notice to Clariden Global. One time substitution
is allowed with no charges. Subsequent substitutions will be charged 10%
admin fee.
PLEASE NOTE: Clariden Global International Limited reserves the right to
change the content and timing of the programme, the speakers and the date
and venue due to reasons beyond their control. If in the unlikely event that
the course is cancelled, Clariden Global International Limited will refund
the full amount and disclaim any further liability.
PRIVATE DISCLOSURE STATEMENT: Any information provided by you in
relation to this event is being collected by Clariden Global International
Limited and will be held in the strictest confi dence. It will be added to our
database for the primary purpose of providing you with information about
future events and services.
4 WAYS TO REGISTER 3 PAYMENT METHODS
VENUE AND ACCOMMODATION INFORMATION
CANCELLATIONS AND SUBSTITUTIONS*All cancellations must be received in written form.
GROUP DISCOUNTS
FEE RECEIVED REFERENCE L7169/BL/ZC
FOR OFFICIAL USE
Booking Contact (Approving Manager) Mr/Mrs/Ms:___________________
Job Title:____________________ Department:____________________
Telephone:_______________________ Fax:_______________________
Email:______________________________________________________
Organization:_______________________________________________
Address:____________________________________________________
____________________________________Postal Code:____________
I would like to receive more information on hotel accommodation
using Clariden Global coporate rate.
Please register the following participant for this seminar.
(Please tick to select your seminar(s). You may tick more than one.)
1st Participant Name (Mr/Mrs/Ms):_________________________________
Job Title:___________________ Department:__________________________
Telephone:_________________________ Fax:_________________________
Email:_________________________________ Date of Birth:_____________
2nd Participant Name (Mr/Mrs/Ms):_________________________________
Job Title:___________________ Department:__________________________
Telephone:_________________________ Fax:_________________________
Email:_________________________________ Date of Birth:_____________
3rd Participant Name (Mr/Mrs/Ms):_________________________________
Job Title:___________________ Department:__________________________
Telephone:_________________________ Fax:_________________________
Email:_________________________________ Date of Birth:_____________
4th Participant Name (Mr/Mrs/Ms):_________________________________
Job Title:___________________ Department:__________________________
Telephone:_________________________ Fax:_________________________
Email:_________________________________ Date of Birth:_____________
□