1. 2013 MSCPMP Circle YEARLY Subscription Form

2. [New / Renew / Update] Subscriber Information Name: (As in Passport) First Name: Last Name: (Name registered with PMI footnote 1 ) Company (before)Designation: (Default is PM) Company (current)Email 1: (Personal) Company (current) URL: Email 2: (Personal) PMI ID:Mobile Phone: PMP ID:PMP Trained by AsiaICTpm: Yes / No PMP Certification Date: Joined MSCPMP Circle before (please circle) : No: If Yes : 2008 / 2009 / 2010 / 2011 1.You may check your name registered with PMI at https://ccrs.pmi.org 2.Email 1, Email 2 or Mobile Phone is used to registered events 3.If you have obtained your PMP from others, please email a copy of your passport size photo to mpc@AsiaICTpm.com.mpc@AsiaICTpm.com

3. One time registration feeAnnual Subscription AsiaICTpm PMP Alumni RM100.00RM300.00 Others RM200.00RM400.00 FIRST TIME Subscriber 1.AsiaICTpm PMP Alumni : RM100 + RM300 = RM400 2.PMP Trained by Others: RM200 + RM400 = RM600 2013 MSCPMP Circle Subscription Fee Payable to MSCPMP Circle (Maybank 5-14169-15234-5) Amount: ______________________ Cash / Cheque No: _______________ Bank: ______________________ Terms and conditions: 1.You will entitle to attend 2 Half Yearly Forums and one (1) additional SPECIAL EVENT free. 2.Earning you a total of 12 PDUs. 3.Enjoying 40% discount on all workshops organized by us which is conducted by international experienced trainers.

4. How to make payment Direct Transfer 1.Transfer the fund via Maybank2u.com / Maybank’s ATM machine into our Maybank account No 5-14169-15234-5 (account owner Advanced Technology Studies Center Sdn Bhd).Maybank2u.com 2.Print PDF payment receipt and the completed registration form 3.Email documents in (2) to us. Email: mpc@asiaictpm.com By cheque 1.Please cross your check and make payable to MSCPMP Circle (Maybank 5- 14169-15234-5) 2.Bank in the cheque via Maybank’s ATM machine and scan or fax bank in receipt. 3.Email documents in (2) to us. Email: mpc@asiaictpm.com