Registration Form - Bahrain Institute of Banking and

Registration Form
Diploma of the Chartered Insurance Institute (CII) Arabic
Self Sponsored
Organisation Sponsored
Self Sponsored
Name of Participant
Mr/Mrs/Ms
First Name Middle Name
Position
Last Name
Department
Organisation
*Nationality
*Date of Birth
*CPR
*Address
*Country
Office Tel
*Mobile
Residence Tel
Fax
*Email (Personal)
Email (Work)
*Signature
Date
Organisation Sponsored
Organisation
Information
Contact Person :
Mr/Mrs/Ms
First Name Position
Middle Name
Last Name
Department
*Nationality
*CPR
Address
Organisation
Office Tel
Fax
*Signature & Stamp
Country
Email
Date
Name of the Participant
Mr/Mrs/Ms
First Name Middle Name
Position
*Nationality
*Email (Personal)
Last Name
Department
*Date of Birth
*CPR
*Mobile
Email (Work)
Office Tel
IMPORTANT NOTICE :
All courses are subject to demand. The Institute reserves the right to cancel or postpone courses at short notice at no loss or liability where, in
its absolute discretion, it deems this necessary.
CANCELLATION AND REFUND OF FEES :
In the case of cancellations by delegates, fees will only be refunded if a written notice of cancellation is received by the Institute. Fees will
be fully refunded for cancellations up to one week before the commencement of class; and a no fee refund if cancellation is after the class
commencement.
ATTENDANCE POLICY :
A minimum of 80% classroom attendance is compulsory in order for participants to sit the final examination.
Unit Code Unit Name
Unit Cost (Preparation classes, study material and examination fees)
W02
Award in General Insurance BHD 500
P05
Insurance Law BHD 600
595
Principles of Takaful BHD 550
P94A Motor Insurance BHD 450
P92A Insurance Business & Finance BHD 600
Methods of Payment
Cheque P lease find enclosed a cheque for
or Credit card Please debit my credit card
Visa
Card No.
made payable to BIBF.
Mastercard
Expiry Date
Cardholder’s Name
Signature
Cash
FOR BIBF OFFICE USE ONLY
INFORMATION DESK
Receipt Number
AmountDate
Comments
Information Desk Attendant Signature
REGISTRATION OFFICE
Student ID
Registered By Date Comments
Please forward this form with course fee to: The Registrar, BIBF, PO Box 20525, Manama, Kingdom of Bahrain
Tel : +973 17 815555 Fax : +973 17 729928 / 17916420
Email : registrar@bibf.com