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Title Name Surname Organisation*Designation*Email* Postal Address* Address Line 1 Address Line 2 City Province Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Cell PhoneID Number*Payment DetailsVirtual Forum Price*Please select the price applicable to you below. Kindly note that 'Members' applies to members of TEI, ACFE, BEN-Africa, CIGFARO, EPA, FPI, GGA, IIASA, ISACA, ICFP, IRMSA, IoDSA, SABPP, SAICA, SAIPA, SIOPSA. Supporters/Members* R 1 342.00 Incl. VAT Non-supporters/members R 1 596.00 Incl. VAT Person responsible for payment First Last Accounts Email Accounts PhoneVAT NumberMembership(s)Please indicate which of the following you are a member of: TEI ACFE BEN-Africa CIGFARO EPA FPI GGA IIASA ISACA ICFP IRMSA IoDSA SABPP SAICA SAIPA SIOPSA TEI Membership Number*ACFE Membership Number*BEN-Africa Membership Number*EPA Membership Number*IIASA Membership Number*ISACA 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 requirementsSpecial Requirements/DisabilitiesIf you have an special requirements or disabilities that you feel we should be aware of, please give a brief explanation here.Terms & Conditions Registration for this event closes two weeks before its commencement date. Any registrations that remain unpaid two weeks prior to the event, will be cancelled to allow an opportunity for delegates on the waiting list to attend. Cancellations made two weeks prior to the event commencement date, will result in a 30% penalty. No refunds will be issued for cancellations occurring one week prior to the event, however, delegates who have made payment can be substituted by another individual at any time before the event, without incurring an additional fee. Such changes must be communicated to TEI in writing. 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. Attendance will be confirmed upon receipt of a completed registration form, full payment, or purchase order in the case of government department delegates. Late registrants will be given a 24-hour window to confirm both their registration and provide proof of payment to TEI. Registrations not adhering to these terms and conditions will be cancelled without any charges to TEI. DISCLAIMER: Please be advised that all events may be photographed and video recorded for marketing, social media, and media purposes. Your attendance at this event constitutes your consent for The Ethics Institute to utilise and publish any recorded material. A 5% discount will be applied if three or more delegates from the same organisation register. A 10% discount will be applied if six or more delegates from the same organisation register.Acknowledgement* I acknowledge that I am aware of the terms and conditions.TEI recognises its responsibility to protect the personal information collected under the Protection of Personal Information, Act 4 of 2013, and has taken reasonable measures to ensure that all personal information is protected. A copy of TEI’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 forum. Processing of Personal InformationTEI Consent*I hereby provide voluntary consent to TEI for referring to my name and surname online and receive direct marketing from TEI. TEI Consent
