China's Local Management Development Programme

(*) = required field

Your data

Title  (*)

Mrs.  Mr.

---

First name  (*)

---

Last name  (*)

---

Highest academic degree

---

Private Address

Street - Number  (*)

---

Postal/Zip code - City  (*)

---

Country  (*)

---

Home phone

---

Fax

---

Mobile phone

---

Personal e-mail  (*)

---

Date of birth  (*)

---

Company/organisation data

Company/Organisation  (*)

---

Sector

Consulting and service companies Solicitors and notaries Other/public sector Other / unknown Banking, insurances and other financial and fiscal service Professional societies, interprofessional societies, Chambers of Commerce Construction firms, contruction material Chemical industry Communication and telecommunication Exploitation of mineral, oil and gas Energy- and water management Pharmaceutical industry Federal government Wholesale and retail trade Dock industry Catering industry Import, Export Informatics - enterprise Agriculture, fishery, forestry Marketing Metal and car industry Environment Social Service Derpartment (OCMW) Education and programme Paper industry, printing business, wood industry Press and media Petrochemistry Police / Justice Provinces and municipalities Revisers and accountants Social and cultural institutions Textile and leather-processing industry Tourism Transport, distribution Publishing houses, graphic industry Temporay agencies Real estate, rental, leasing Flemish Community Food industry Hospitals, care centres

---

Position

---

Company/organisation Address

Street - Number  (*)

---

Postal/Zip code - City  (*)

---

Country  (*)

---

General phone

---

Direct phone

---

General fax

---

Direct fax

---

General e-mail

---

direct e-mail  (*)

---

TVA-number

---

Payment modalities

Payment

Programme

China's Local Management Development Programme

---

Cost	2950 EUR (21% VAT not included)

---

Pay?	After receiving the invoice (offline)

---

The obligation to payment of the participation costs is contracted by: (*)

The enrolled person  The aforementioned company/organisation  The company with invoice address and TVA-number mentioned below

---

KMO portefeuille - More info

My company/organisation qualifies for KMO portefeuille

---

General conditions

I agree with the general conditions. - More info  (*)

---

Various

Remark

Remark concerning this registration

---

How did you hear about this programme?

an advertisement or article in the press  a website  a fair  a recommendation  colleague(s)/co-worker  a former student  a flyer or brochure  the Antwerp Management School-programme guide  a poster  other channels

---

Privacy

In compliance with the law of December 8 1992 on the safeguarding of personal privacy, all data which the user enters on the site will be communicated after a simple request. If the user wishes so, they will be corrected within a reasonable span of time and without further costs. Antwerp Management School is responsible for the processing, storage and management of these personal data. After a simple request and without further costs the user can consult these data at all times. The data which are entered are only used for administrative purposes and will not be passed on to third parties.

---

---