ESQ TRAINING ONLINE REGISTRATION
NOTES

  • The candidate has the right to participate after enrolling by filling in the form COMPLETELY; AND send a transfer receipt (by fax or email).
  • Please send the transfer receipt with the name used in the registrationform.
  • Candidates who has sent tuition fee without filling in the form is not considered as a participant.
  • Candidates who pay less than the required tuition fee are not considered participants.
  • Payment method must be through a banktransfer to our bank account.
  • If you have an agreement with an institution/company (e.g. that institution/company pays the tuition fee) that has multiple participants, please make this clear.
  • The institution/company should mention the agreement beforehand.
  • ESQ Europe will not accept transfers made after the training days.
  • ESQ Europe has the right to refuse participants due to e.g. maximum capacity, or the latter.
IMPORTANT INFORMATION
Full name* Nickname*
Address* Sex* Male Female
Postal Code* Home Phone* +
City* Mobile Phone* +
Province* Email*
Country* Marital Status*
Place of Birth* Religion*
Date of Birth*

(* required elements)
INSTITUTION INFORMATION
Institution Name* Phone +
Address Fax +
Postal Code and City Position
Country* Email
TRAINING PROGRAM
Training Category*
Executive
Professional
Regular
Student
Teens
Kids
Training Date*
 City* Paid by*
Personal
Institution / Company:
      
PAYMENT INFORMATION
Payment with
Bank Account Number* 		Transfer Date*
 Amount*
€   ,--		 Transfer Receipt*
Has been email or faxed
Has not yet been emailed or faxed
(you will not be considered a participant before the receipt has been received!)
DECLARATION
I declare that the form is truthfully, accurately and complete. *