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More Knowledge, More Opportunities PVD TECHNICAL TRAINING & CERTIFICATION J.S.C Road 1, Dong Xuyen Industrial Zone Rach Dua Ward, Vung Tau City, S.R Viet Nam Tel : (84) 64 3551098/ 3615399 Fax : (84) 64 3612699/ 3615299 Email : [email protected] Website: www. pvdtraining.com.vn BOOKING APPLICATION FORM PHIẾU ĐĂNG KÝ KHÓA HỌC COMPANY DETAILS/ THÔNG TIN CHI TIẾT VỀ CÔNG TY (Note/Ghi chú: The below information shall be printed in your invoice/ Thông tin sau sẽ được sử dụng để phát hành hóa đơn cho quý khách) Company/ Công ty: ………………………………………………………………………………………………………………….....……………........ Address / Địa chỉ:……………………………………………………………………………………...…………………………….................................. Your V.A.T Number/ Mã số thuế:……………………………………………………………... …………………………….......................................... Tel/ Điện thoại: …………………………… Fax/ Số fax: ……………………… E-mail: ………….. ……………………………................................ Purchase Order No/ Số yêu cầu:: …………………............................................................................................ ............................................................... Contact Name/ Người liên hệ: …………………...................................................Chức vụ: ............................................................................................ COURSE DETAIL/ THÔNG TIN VỀ KHÓA HỌC Course name/ Tên khóa học: ………………………….........................................Level/Cấp: ………………………………………………………… Course duration/ Thời gian: …………………………………………………….Course Code/ Mã số: ………………………………….………… Course Fee/ Chi phí: ……………………………………………………………………………………………………………………………………. (Note/Ghi chú: The payment condition indicated in page 2/Xem điều kiện thanh toán tại trang 2) PARTICIPANT INFORMATION/ Thông tin cá nhân Name Họ và tên Birthday Ngày tháng năm sinh National ityQuốc tịch I.D .Card Số CMND Job Title Chức vụ Telephone Số điện thoại E-mail Địa chỉ Email Dietary Requireme nt Chế độ ăn kiêng TRANSPORTATION/ THÔNG TIN ĐƯA ĐÓN F-TRN-02 rev 05 PVD Training – PVD Technical Training & Certification JSC Page 1

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Wednesday, 21 July 2004

BOOKING APPLICATION FORM

PHIU NG K KHA HC

COMPANY DETAILS/ THNG TIN CHI TIT V CNG TY

(Note/Ghi ch: The below information shall be printed in your invoice/ Thng tin sau s c s dng pht hnh ha n cho qu khch)

Company/ Cng ty: .............

Address / a ch:.....................................

Your V.A.T Number/ M s thu:.............................................

Tel/ in thoi: Fax/ S fax: E-mail: ..................................

Purchase Order No/ S yu cu::...........................................................................................................................................................

Contact Name/ Ngi lin h: ...................................................Chc v: ............................................................................................

COURSE DETAIL/ THNG TIN V KHA HC

Course name/ Tn kha hc: .........................................Level/Cp:

Course duration/ Thi gian: .Course Code/ M s: .

Course Fee/ Chi ph: .

(Note/Ghi ch: The payment condition indicated in page 2/Xem iu kin thanh ton ti trang 2)

PARTICIPANT INFORMATION/ Thng tin c nhn

Name

H v tn

Birthday Ngy thng nm sinh

NationalityQuc tch

I.D .Card S CMND

Job Title Chc v

Telephone

S in thoi

E-mail

a ch Email

Dietary Requirement

Ch n king

TRANSPORTATION/ THNG TIN A N

1.1 Will the course participants arrange their own transport to the PVD Training Address/ Hc vin t sp xp n Cng ty?

Yes/ C ( No/ Khng (

If the answer to 1.1 is No, please fill in question 1.2 and 1.3/ Nu tr li Khng, vui lng in thng tin vo mc 1.2

1.2 Please give the names of participants who need to be picked by PVD Training/ H v tn hc vin cn a n.

.

1.3 Please give the address and contact details of the hotel where they need to be picked up from/ a ch, lin h a n:

.

AUTHORIZATION/ XC NHN

Name/ Tn: ... Signature/ K tn: .

Date/ Ngy: ..

REMUNERATION/ Chi ph o to

1. The Customer shall pay PVD Training for the Work, as specified in this. Payment will be made to PVD Trainings bank account as stated on the invoice unless otherwise specified in this agreement. Prices quote are exclusive of VAT or any if any/ Khch hng cn phi thanh ton cho PVD Training chi ph o to c nu trong Hp ng. Chi ph s c chuyn vo ti khon Cng ty, khng bao gm thu v chi ph chuyn khon nu c. Ngoi tr nhng trng hp khc s c th hin chi tit trong hp ng o to, gi kha hc c th hin trong phiu ng k .

2. Payment shall be made within 15 days since the date invoice received by customer. For late payment interest will be charged at rate of 1.5% per month or part thereof/ Chi ph c thanh ton trong vng 15 ngy k t ngy qu khch hng nhn c ha n. Mi vic chi tr khng ng hn u phi chu mc li xut 1.5% mt thng hoc tng ng.

3. Refer to the following for bank transfer payment/ Chuyn khon cho ngn hng theo:

DELEGATE CANCELLATIONS/ Thng bo hy kha hc

4. We appreciate that occasionally difficulties will arise and result in nominated staff being unable to attend a training course; therefore cancellations will only be accepted without charge, if notice of cancellation is received in writing (fax acceptable) at least 15 working days (2 weeks) prior to the course commencement date. Any cancellations received after this date will be subjected to the following penalties/ Trong mt s trng hp hc vin khng th tham d kha hc. Do , thng bo hy kha hc s c chp nhn nu thng bo c chuyn n bng vn bn hoc fax t nht l 15 ngy (2 tun) trc khi kha hc bt u. Vi bt k thng bo hy kha hc sau thi gian trn s theo hnh thc nh sau:

VARIATIONS/ S thay i

5. The Customer shall be entitled to request additional work (hereinafter reffered to as variations) under this Agreement/ Khch hng c quyn yu cu PVD Training thc hin vic b sung thm cho vic o to.(sau y c xem nh phn thay i ca hp ng ny).

6. All variation requests shall be in writing, clearly defining the variation required, including but not limited to remuneration and time schedule/ Tt c cc yu cu thay i phi c thng bo bng vn bn ch r cc yu cu mun thay i bao gm nhng khng ch gii hn trong hai vn lin quan n v tr v lch trnh o to.

HEALTH, SAFETY & ENVIRONMENT (HSE)/ An ton, sc khe v mi trng

7. PVD Training shall inform the Customer of any real or potential HSE hazard which may be relevant to, involved or introduced in the work and/ or any necessary safety measures required for the Work, prior to or during the performance of the Work/ Khi o to ti PVD Training, PVD Training cn thng bo cho khch hng bit nhng mi nguy hin hu hoc tim tng v an ton, sc khe, mi trng nh hng n qu trnh o to v cc bin php x l cn thit trong thi gian o to.

8. Whenever PVD Training undertakes work on site, the Customer shall provide all adequate safety measures to ensure working environment that is safety and in accordance with all relevant legislation/ Khi PVD Training ang o to ti doanh nghip, doanh nghip phi cung cp y cc bin php an ton nhm m bo mi trng lm vic an ton v ph hp vi cc vn lin quan n php lut.

9. The PVD Training employee has the right to refuse to carry out an activity, when the safety, according to his/her own judgment, it not satisfactory/ PVD Training c quyn t chi thc hin cng vic khi nhn thy cc bin php kim sot an ton khng c tha mn.

10. Any customer requirements specifying participation in screening programs shall be communicated to the PVD Training employee prior to commencement of work/ Bt c yu cu no ca khch hng v vic ch nh thnh phn tham d trong chng trnh phi c trao i vi PVD Training trc khi bt u.

LAW/ iu khon v lut p dng

11. This is Agreement shall be governed and construed in accordance with the law of Viet Nam/ Cc iu khon v iu kin ny c son tho ph hp vi lut php Vit Nam.

12. Any dispute arising in relation to or as a consequence of this Agreement, which cannot be settled amicably through negotiations between the party, shall be subject to the courts of Baria Vung Tau, SR. Vietnam./ Mi tranh chp lin quan n cc iu khon v iu kin ny m hai bn khng th dn xp c s c gii quyt ti ta n kinh t tnh B Ra Vng Tu, Vit Nam.

LIABILITY AND INDEMNITIES/ Bo m v hn ch trch nhim php l

13. PVD Training shall indemnify, indemnify, defend, and hold harmless the Customer from and against any all losses, claims and liabilities related to or arising out of this Agreement as a result of/ PVD Training phi m bo, bo v v trnh cho khch hng khi nhng mt mt, n b, trch nhim php l lin quan hoc nm ngoi iu khon v iu kin ny xy ra do bi:

a) Death of or personal injury to any employees, representatives or subcontractor of PVD Training or its affiliates/ S mt mt v tnh mng hoc gy thng tch cho ngi lao ng, cc i din hoc cc nh thu ph ca PVD Training.

b) The loss of or damage to property or employees, representatives or subcontractors of PVD Training or its affiliates/ S mt mt hoc tn hi n ti sn hoc ngi lao ng, cc i din hoc cc nh thu ph ca PVD Training hay cc chi nhnh trc thuc.

c) All consequential, special or incidental costs, losses or damages (whether direct or indirect) suffered by PVD Training/ Tt c cc chi ph tn tht hoc thit hi pht sinh do kt qu ca cc hnh ng trn ( trc tip hoc gin tip) s do PVD Training chu.

14. The Customer shall indemnify, defend and harmless PVD Training from and against any and all losses, claims and liabilities related to or arising out this Agreement as a result of/ Khch hng phi bo m, bo v v trnh cho PVD Training khi nhng mt mt, bi thng v trch nhim php l lin quan n hoc nm ngoi nhng iu khon v iu kin trong tha thun ny l hu qu ca:

a) Death of or personal injury to any employee, representatives or subcontractors of the Customer or its affiliates/ S mt mt v tnh mng hoc gy thng tch cho ngi lao ng, cc i din hoc cc nh thu ph ca khch hng hoc chi nhnh trc thuc.

b) The loss of or damage to property or employees, representatives or subcontractors of the Customer or its affiliates/ S mt mt hoc tn hi n ti sn hoc ngi lao ng, cc i din hoc cc nh thu ph ca khch hng hoc cc chi nhnh trc thuc.

c) All consequential, special or incidental costs, losses or damages (whether direct or indirect) suffered by the Customer/ Tt c cc chi ph tn tht hoc thit hi pht sinh do kt qu ca cc hnh ng trn ( trc tip hoc gin tip) s do khch hng chu.

15. Each part shall be responsible for and accept full liability for its own acts or omissions leading to the loss of or damage to any third party/ Mi bn hon ton chu trch nhim php l v cc hnh ng gy nn tn tht cho bn th ba

Electric Transfers for payments in Vietcombank/ Ngn hng Vietcombank

Account Name/ Tn ti khon: PVD Technical Training & Certification Joint Stock Company/ Cng ty CP o to K thut PVD

Account Number (VN)/ S ti khon: 008.100.019.9652

Account Number (USD)/ S ti khon: 008.137.019.9662

Swift Code/ M s: BFTVVNVX008

Address/ a ch: 27-29 Tran Hung Dao Street, Ward 1, Vung Tau City/ 27-29, ng Trn Hng o, Qun 1, Tp. Vng Tu

Electric Transfers for payments in ACB/ Ngn hng ACB

Account Name/ Tn ti khon: PVD Technical Training & Certification Joint Stock Company/ Cng ty CP o to K thut PVD

Account Number (VN)/ S ti khon: 14352929

Account Number (USD)/ S ti khon: 14353219

Swift Code/ M s: ASCBVNVX

Address/ a ch: 3A Tran Hung Dao Street, Ward 1, Vung Tau City/ 3A, ng Trn Hng o, Qun 1, Tp. Vng Tu.

Cancellation Notice given/ Thng bo hy % of Course Fee Refund/ % hon li

Less than 15 working days/ Khng qu 15 ngy 100%

07 - 14 working days/ 07 14 ngy 75%

06 -03 working days/ 06 03 ngy 50%

02 01 working days/ 02 01 ngy 25%

Less than above 0%

F-TRN-02 rev 05 PVD Training PVD Technical Training & Certification JSC Page 1