Strengthening Families, Building Communities, Developing Minds

Registration Form

Understanding the Fundamentals of Childhood Disorders

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Programme Information

Date: 28th - 30 November
Venue: TBA


Personal Information

First Name:

Surname:

Job Position Title:

Mailing Address:

Email:

Gender:
Male Female 

Date of Birth:


Telephone Numbers

Work:
Ext:

Home:

Mobile:

Facsimile: N/A


Company Information

Company:

Mailing Address:

Contact Person:


Financial Information

Please indicate how payment will be settled for this programme (The person/company indicated must sign in the space provided). Seats for this workshop are very limited and require a minimum down payment of 50% in order to secure your booking.

Preferred Payment:

 Manager’s Cheque Direct Deposit Cash Invoice required

  • Please be advised the cost of this workshop is $1800.00 TTD.
  • Payments may be made Via Cheque, Direct Depositor or Cash to TCHD Postgraduate Training Institute
  • Direct deposits are to be made to account 36076-30 for Trinidad and Tobago Dollars payments at any Bank of Nova Scotia Branch (Scotia Bank).
  • All payments (Cheque or Cash) or proof of payments (copy of the direct deposit slip) must be received at our Head Office – 9 Pasea Main Road Tunapuna during the hours of 9am to 5pm.


Declaration

Authorized Personnel

Date:

Applicant’s Signature:



For additional details, please contact: TCHD Postgrad Training Department at: 1 (868) 374-9996/1 (868) 324-9095/1(868) 374-9814/1 (868) 317-3471