On-line Conference Registration

Registration Form

Personal Details of Delegate (Fields marked with * are mandatory)
Full Name * (e.g. Steven Tan)
Family Name/Surname* (e.g. Tan)
Name to appear on conference badge *
Name of Company * (e.g. Insurance Company Pte Ltd, XYZ Pte Ltd)
Industry Segment * Others (Please specify below)
Job Title / Designation*
Mailing Address *

Postal Code*
Country *
Telephone *
Fax *
E-mail *
Secretary's E-mail (if any)
Additional Information Please tick the appropriate checkbox

This is my first time attending an SIRC event.

I will require a Letter of Invitation from the Organiser for visa application purposes.

My passport details are as follows:
Passport number:
Full name (as in passport):
Country of Issue:
Catering Arrangements The 14th SIRC Organising Committee will cater light breakfast for registered delegates at the Bayview Foyer, Level 4, Sands Expo and Convention Centre, from 7am to 9am on 1 and 2 November 2017.

All meals served at the Conference will be prepared without pork and lard. To cater to the special dietary needs of delegates, a separate vegetarian section will be provided and all dishes containing beef will be clearly marked.
Regular Fee S$1480 per Delegate 
Conference Fees
Early Registration Fee
(until 30 June 2017)
Regular Fee
(from 01 July 2017)
Total Fees Payable
Mode of Payment
By telegraphic transfer (in Singapore dollars) to :

Beneficiary: Singapore College of Insurance Limited
Bank Account No: 001-053726-1
Bank Name: DBS Bank Limited
Bank Branch: Shenton Way
Bank Address: 12 Marina Boulevard, Marina Bay Financial Centre Tower 3. Singapore 018982
Bank Code: 7171
Branch Code: 001
Swift Code: DBSSSGSG

* I will undertake to indemnify the organisers for all bank charges.
By Credit Card (VISA or MasterCard only)
By cheque/draft in Singapore dollars drawn on a Singapore bank and made payable to the "Singapore College of Insurance Limited"
Complimentary. Please enter Complimentary Code:
Cancellation / Substitution Policy

Any cancellation of registration notified in writing before 30 September 2017 will be allowed subject to payment of an administration fee of S$250. No refunds will be allowed for cancellations notified thereafter. However substitution or replacement of delegates will be allowed.

Please check and print a copy of the completed online Registration Form, if needed, before submission.
I have read and understood the Privacy Policy with regards to the Collection, Use, Disclosure and Safeguard of my personal information.

Copyright © 2015 Singapore College of Insurance Limited. All Rights Reserved by SCI.
Privacy Policy