Please complete the form below to register one or more delegates for the training program. Should you wish to register more than 5 delegates for the course please contact Ben Tirebuck at

I would like to register:*

Price (USD)

Contact details for invoice:

First Name*

Last Name*

Job Title*


Email Address*

Phone Number*

Billing Address*



Please select your preferred payment method

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Disclaimer & Cancellation Policy

ethiXbase 360 Pte. Ltd reserves the right to make program / tutor / venue changes due to unforeseen circumstances. ethiXbase 360 Pte. Ltd accepts no responsibility for any loss or damage to property belonging, or any personal injury incurred by delegates during the course, within the venue or otherwise.

If you are unable to attend the course, you can send a replacement delegate at no extra charge. Alternatively, for cancellation requests received more than 20 working days before the course date we will offer a refund less an administration fee of 10% of the course price. We regret that no refunds can be given after this period. Non-attendance without any notification will be charged at full rate. Cancellations must be made in writing and reach our office 20 working days prior to the course date.

Your place on a course is not guaranteed until we receive the payment. All payments must be made in full before the course date.

I have read and accept the cancellation policy*


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