Conflicts of Interest Training Registration

Name*

Title Name Surname

Organisation*

Designation*

Email*

Postal Address*

Address Line 1 Address Line 2 City Province Postal Code Country

Phone*

Cell Phone

ID Number*

Payment Details

Webinar & Contact Fees

Please select the price applicable to you. Kindly note that 'Members' applies to members of TEI, BEN-Africa, CIGFARO, FPI, ICFP, IIASA, IoDSA, IRMSA, SABPP, SAICA, SAIPA, SIOPSA & ISACA

Webinar Supporters/Members* R 2 388.00 (Incl. VAT)
Webinar Non-supporters/members R 2 840.00 (Incl. VAT)
Contact Supporters/Members* R 3 200.00 (Incl. VAT)
Contact Non-supporters/members R 3 750.00 (Incl. VAT)

Person responsible for payment

First Last

Accounts Email

Accounts Phone

VAT Number

Membership(s)

Please indicate which of the following you are a member of:

TEI Membership Number*

ACFE Membership Number*

BEN-Africa Membership Number*

CIGFARO Membership Number*

EPA Membership Number*

IIASA Membership Number*

ICFP Membership Number*

FPI Membership Number*

GGA Membership Number*

IRMSA Membership Number*

IoDSA Membership Number*

SABPP Membership Number*

SAICA Membership Number*

SAIPA Membership Number*

SIOPSA Membership Number*

CIGFARO Membership Number*

Membership Verification*

I accept that my membership details will be verified.

Special requirements

Dietary Requirements (for contact session)

Special Requirements/Disabilities

If you have an special requirements or disabilities that you feel we should be aware of, please give a brief explanation here.

Terms & Conditions

Due to the nature of the course, only a limited number of delegates can be accommodated.
Bookings are only confirmed on receipt of a registration form, full payment, or a Purchase Order in the case of government departments.
Registrations close two weeks before a programme starts. All registrations not paid two weeks prior to the event will be cancelled to accommodate people from the waiting list.
Cancellations two weeks prior incur a 30% penalty. No refunds will be made on cancellations incurred one week prior to the programme. Applicants who have made payment may be substituted by another person at any time prior to the event without incurring an additional fee. The Ethics Institute must be notified of any changes in writing.
Late registrations will have a 24-hour window period to confirm their registration and payment.
All registrations not conforming to these terms and conditions will be cancelled at no cost to The Ethics Institute.
5% discount if three or more delegates from one organisation register. 10% discount if six or more delegates from one organisation register.

Acknowledgement*

I acknowledge that I am aware of the terms and conditions.

The Ethics Institute recognises its responsibility to protect the Personal Information collected under the Protection of Personal Information, Act 4 of 2013, and have taken reasonable measures to ensure that all Personal Information is protected under its care. A copy of the Ethics Institute's Protection of Personal Information Policy is available from the Information Officer, on request.

POPIA Consent*

I hereby provide voluntary consent for the processing of my Personal Information as it will only be used for the intended purpose of registering for the above-mentioned programme, assessment and moderation of the Portfolio of Evidence, training verification statistics and evaluations, and will not be used for any other purpose.

Processing of Personal Information

TEI Consent*

I hereby provide voluntary consent to The Ethics Institute for referring to my name, surname, and EO number online and receive direct marketing from The Ethics Institute for the full period of my Supporter subscription.

TEI Consent

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Conflicts of Interest Training Registration.

Payment Details

Membership(s)

Special requirements

Terms & Conditions

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