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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 Phone ID 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. Members* R 1 217.00 Incl. VAT Non-members R 1 447.00 Incl. VAT Ethics Officers R1 095.00 Incl. VAT Person responsible for payment First Last Accounts Email Accounts PhoneVAT Number Membership(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* 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* 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 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 Protect 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, training verification statistics and evaluations, and will not be used for any other purpose. Processing of Personal InformationTEI 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 ConsentCAPTCHA
