Company name:

ICAO provides training courses on fixed dates at ICAO Headquarters in Montréal or through cost effective in-country training. For further information on in-country DG Training scheduling, please contact Mr. Rick Lee at

rlee@icao.int

E-mail address:

Job Title:

ICAO Dangerous Goods Training

1

STUDENT REGISTRATION FORM Please type or print clearly on this form, one form for each student

1. Student Information

Address:

City:

Postal Code:

Telephone No.:

Fax No.:

Mobile No.:

Billing name and address: (If different from the above)

Student name (as it will appear on certificate (first name, surname)):

Province/State:

Country:

Courses scheduled for 2012

ICAO Dangerous Goods Training

2

2. Course & Date SelectionClass size is limited to twenty (20) students. Available space will be allocated on a first-come, first-served basis. A booking will be valid for five (5) calendar days, during which time the company must confirm registration by making a full payment. Enrolment to the course will be considered confirmed only when ICAO has received payment in full and has granted course confirmation. ICAO will send a confirmation by email. The course requires a minimum of ten (10) students. ICAO reserves the right to cancel a course or modify the date depending on enrolment levels. Such decisions will be made at least thirty (30) days before the scheduled course date.

Location Course Date Fee (select)

* Note: The documents listed below will be provided to all students for use during the course. Those who wish to keep the books can do so by selecting the "includes books" fee option.

Doc 9375P1 − Dangerous Goods Training Manual − Volume 1 − Using the Technical

Instructions for the Safe Transport of Dangerous Goods. Doc 9284 − Technical Instructions for the Safe Transport of Dangerous Goods by Air Doc 9481 − Emergency Response Guidance for Aircraft Incidents Involving Dangerous Goods Annex 18 − The Safe Transport of Dangerous Goods by Air

3. Successful CompletionThe student understands that this is a pass/fail course with a test at the end of the session. A certificate will be granted only upon the successful completion of the course. Attendance is mandatory for all classes on all days.

ICAO Headquarters, Montréal

10-14 September 2012

29 October -2 November 2012

5-9 November 2012 U.S.$ 1,150 (no books)

U.S.$ 1,250 (includes books)*

Title

PART 1 - Using the Technical Instructions for the Safe Transport of Dangerous Goods by Air

PART 2 - Dangerous Goods Training for State Employees

ICAO Headquarters, Montréal

U.S.$ 950 (no books)

U.S.$ 1,050 (includes books)*

ICAO Dangerous Goods Training

Payment is due within five (5) days of receipt of an invoice. Acceptable means of payment are by: credit card, cheque (made payable to "ICAO" with "DG Training course" annotated), or bank transfer. For payment by bank transfer please follow the details of payment in the attachment to this form.

For payment by major credit cards (American Express, MasterCard and Visa), please provide your credit card details below. Note: The fee is quoted in United States dollars, but for payment by the American Express credit card, it will be charged in Canadian dollars at the UN monthly rate of exchange.

MasterCardAmerican Express Visa

Payment by Credit Card

Payment by Cheque

Payment by Bank Transfer

Card number:

Expiry date:

Cardholder's name:

3-digit security code (back of the card) or 4-digit security code (front of card) for American Express:

Following receipt of the duly completed Student Registration Form, ICAO will send an invoice by email to the student.

4. Invoicing and Payment

3

Signature

ICAO Dangerous Goods Training

4

7. Acceptance The undersigned hereby accepts the terms and conditions set forth in this Student Registration Form. Signature: _________________________________ Date: _________________________

8. Return the Form Save the duly completed Student Registration Form and return it by e-mail in a pdf format to

rlee@icao.int or return it by facsimile to the attention of Rick Lee at: +1.514.954.6769. For additional information, call Rick Lee at +1.514.954.8219 x 7001

Students who do not attend or do not complete the course ("no-shows") will be invoiced for the full course fee.

6. No-show Fees

Given the level of preparation work associated with this course, the following cancellation policy applies: Cancellations received in writing at least thirty (30) calendar days prior to the course start date will

be accepted at no charge. Cancellations received in writing less than thirty (30) but at least seven (7) calendar days prior to

the course start date will be accepted at a charge of 10% of the applicable course fee. Cancellations received less than seven calendar (7) days prior to the course start date will be

charged 25% of the applicable course fee. Cancellations received less than three (3) days prior to the course start date will be charged

100% of the applicable course fee. Requests to reschedule for another course received in writing at least thirty (30) calendar days

before the start date will be accepted at no extra charge. Requests to transfer registration to another student received in writing at least thirty (30) calendar

days before the start date will be accepted at no extra charge.

5. Cancellation Policy

Royal Bank of Canada, 1140 St. Catherine Street West, Montréal, Quebec, Canada H3B 1H7 Swift code: ROYCCAT2 Bank code: 003 Transit code: 05101 ABA code (Europe): 021000021 Bank account: 4004 164 Currency of account: U.S.$ Details of payment: Dangerous Goods Training Course

A charge of U.S. $10 should be added to cover charges by ICAO's bank. All bank charges must be prepaid, in U.S. dollars, into the following account:

BANK TRANSFER INFORMATION

Microsoft Word - ICAO DG Training Student Registration Form - 2010_V3.doc

LMcGuigan

D:20110128111106- 05'00'

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ICAO provides training courses on fixed dates at ICAO Headquarters in Montréal or through cost effective in-country training. For further information on in-country DG Training scheduling, please contact Mr. Rick Lee at

 rlee@icao.int 

ICAO Dangerous Goods Training

1

STUDENT REGISTRATION FORM

Please type or print clearly on this form, one form for each student

1. Student Information

Courses scheduled for 2012 

 

ICAO Dangerous Goods Training

2

2. Course & Date Selection

Class size is limited to twenty (20) students. Available space will be allocated on a first-come, first-served basis. A booking will be valid for five (5) calendar days, during which time the company must confirm registration by making a full payment. Enrolment to the course will be considered confirmed only when ICAO has received payment in full and has granted course confirmation. ICAO will send a confirmation by email.  The course requires a minimum of ten (10) students. ICAO reserves the right to cancel a course or modify the date depending on enrolment levels. Such decisions will be made at least thirty (30) days before the scheduled course date.

Location

Course Date

Fee (select)

* Note: The documents listed below will be provided to all students for use during the course. Those who wish to keep the books can do so by selecting the "includes books" fee option.

 

▪    Doc 9375P1 - Dangerous Goods Training Manual  -  Volume 1 - Using the TechnicalInstructions for the Safe Transport of Dangerous Goods.

▪    Doc 9284  - Technical Instructions for the Safe Transport of Dangerous Goods by Air 

▪    Doc 9481  - Emergency Response Guidance for Aircraft Incidents Involving Dangerous Goods

▪    Annex 18  -  The Safe Transport of Dangerous Goods by Air

3. Successful Completion

The student understands that this is a pass/fail course with a test at the end of the session. Acertificate will be granted only upon the successful completion of the course. Attendance ismandatory for all classes on all days.  

ICAO Headquarters, Montréal

Title

PART 1 - Using the Technical Instructions for the Safe Transport of Dangerous Goods by Air

PART 2 - Dangerous Goods Training for State Employees

ICAO Headquarters, Montréal

ICAO Dangerous Goods Training

Payment is due within five (5) days of receipt of an invoice. Acceptable means of payment are by: credit card, cheque (made payable to "ICAO" with "DG Training course" annotated), or bank transfer. For payment by bank transfer please follow the details of payment in the attachment to this form. 

For payment by major credit cards (American Express, MasterCard and Visa), please provide your credit card details below. Note: The fee is quoted in United States dollars, but for payment by the American Express credit card, it will be  charged in Canadian dollars at the UN monthly rate of exchange.  

Following receipt of the duly completed Student Registration Form, ICAO will send an invoice by email to the student.

4. Invoicing and Payment

3 

Signature

ICAO Dangerous Goods Training

4

7. Acceptance

The undersigned hereby accepts the terms and conditions set forth in this Student Registration Form. Signature: _________________________________ Date: _________________________

8. Return the Form

Save the duly completed Student Registration Form and return it by e-mail in a pdf format to

rlee@icao.int  or return it by facsimile to the attention of Rick Lee at: +1.514.954.6769.

 

For additional information, call Rick Lee at +1.514.954.8219 x 7001

Students who do not attend or do not complete the course ("no-shows") will be invoiced for the full course fee. 

6. No-show Fees

Given the level of preparation work associated with this course, the following cancellation policy applies:

 

▪   Cancellations received in writing at least thirty (30) calendar days prior to the course start date will be accepted at no charge.

▪   Cancellations received in writing less than thirty (30) but at least seven (7) calendar days prior to the course start date will be accepted at a charge of 10% of the applicable course fee.

▪   Cancellations received less than seven calendar (7) days prior to the course start date will be charged 25% of the applicable course fee.

▪   Cancellations received less than three (3) days prior to the course start date will be charged 100% of the applicable course fee.

▪   Requests to reschedule for another course received in writing at least thirty (30) calendar days  before the start date will be accepted at no extra charge.

▪   Requests to transfer registration to another student  received in writing at least thirty (30) calendar days  before the start date will be accepted at no extra charge.

5. Cancellation Policy

Royal Bank of Canada, 1140 St. Catherine Street West, Montréal, Quebec, Canada H3B 1H7

 

Swift code:                  ROYCCAT2 

Bank code:                  003

Transit code:                  05101 

ABA code (Europe):         021000021Bank account:                  4004 164

Currency of account:         U.S.$

Details of payment:         Dangerous Goods Training Course 

A charge of U.S. $10 should be added to cover charges by ICAO's bank. All bank charges must be prepaid, in U.S. dollars, into the following account: 

BANK TRANSFER INFORMATION

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