Registration Form

TRAINING PROGRAMS IN APPLIED STATISTICS
REGISTRATION FORM
To attend module (please check):
[ ] 1. Basic Statistics with Exploratory Data Analysis
[ ] 2. Applied Forecasting
[ ] 3. Statistics for Market Segmentation and Predictive Modelling

Name of Participant: ____________________________________________________________
Office: ________________________________ Position: _______________________________
Office Address: _________________________________________________________________
Tel. No.: ________________ Fax No.: _______________ E-mail Address: __________________
Educational Background
Degree

School

Year Attended

Trainings Related to Statistics:
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3. ________________________________________________________________________
4. ________________________________________________________________________
Brief Job Description Related to Statistics:
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