Generative Artificial Intelligence for Directors and Senior Executives Wednesday 19 and Thursday 20 February 2025 Generative Artificial Intelligence for Directors and Senior Executives Wednesday 19 and Thursday 20 February 2025 Details of Delegate Please ensure that your name and ID number are identical with information submitted to HRDC on G1. Designation * Mr Mrs Ms Surname * First Name * ID Card Number / Passport No. for non-citizens * Position Occupied * Mobile Phone * Country code and mobile phone number Office Phone * Country code and phone number Email Address * Are you sponsored? * Yes No Billing Address * City / Village * Country * The Delegate has the proper internet connection and IT devices to attend the online classes. * Yes No End Section Employer (or self-financed delegate) Company Name * BRN * Phone * Country code and phone number Billing Address * City / Village * Country * I, the undernamed authorised representative of the Company, hereby confirm that: * The participation of the above named delegate has been authorised; and The Id Number of the delegate as provided above is correct; and The terms and conditions of the Refund Policy mentioned below are accepted. Name of person authorising participation * Position * Email Address * End Section Course Registration Participation Fees: Rs 17,500 per delegate | Rs 5,250 per delegate, after HRDC Refund of 70%. Generative Artificial Intelligence for Directors and Senior Executives Wednesday 19 and Thursday 20 February 2025 Payment by Bank Transfer - ACCOUNT HOLDER: Belstar Training Services Ltd | BANK: Mauritius Commercial Bank ("MCB") - A/c No 0001 1053 4824 - IBAN: MU92MCBL0911000000534824000MUR I confirm that all the information given on this form is correct and I accept unconditionally the refund policy. * Please enter here the name of the person filing this form. Date End Section Refund Policy A written notice of cancellation received at least TEN working days before event attracts a refund of 50%. For later cancellation there will be no refund. A substitution of delegate may be considered and it shall be the sponsor’s responsibility to liaise with HRDC about the change of delegate. End Section Notes 1. Participation will be confirmed on settlement of participation Fees. 2. All Documentation (i.e.) Attendance Certificate, Stamped Invoice and Receipt will be issued within THREE weeks of completion of training. Sponsors will need these to complete G3. End Section REGISTER If you are human, leave this field blank.