This form takes approximately 5 minutes to complete. Click ‘Send’ at the bottom of the page will direct you to PayPal to complete your payment and registration. Please Select Country Australia Hong Kong India Macau Malaysia Philippines Singapore Taiwan Thailand Others Title* ---Mr.Ms.Mrs.Dr. Family Name* Given Name* Passport No./ID* Insurance Company* ---AIA Group LimitedAltruist Financial Group LimitedAXA GroupBOC Group Life Assurance Company LimitedChina Life Insurance (Group) CompanyChubb Group Holdings IncPing An Insurance (Group) Company of China , LtdChina Taiping Insurance Group Co., LtdFTLife Insurance Company LimitedFWD Life Insurance Company (Bermuda) LimitedThe Great Eastern Life Assurance Company LimitedHong Leong Insurance (Asia) Ltd.Manulife (International) LimitedMassMutual Asia Ltd.MetLife LimitedPrudential Corporation AsiaSun Life Assurance Company of CanadaTahoe Life Insurance Company LimitedZurich International Life LimitedOther Please Specify : Address* Country/Region* Office Tel Fax Mobile No.* Your Email (required) *Please provide your address and/or e-mail address in full accuracy to ensure that you will receive the letter of confirmation for registration. Payment: SPECIAL PRICE SGD398 Quantity: Simultaneous Interpretation (S.I) Needed NoYes Choose the language: ---EnglishChineseThaiBahasa IndonesiaVietnameseOther Please Specify : Would you like to to become a volunteer of the APLIC 2022? NoYes 1. What is your level of proficiency in the English or Chinese? English Written BasicIntermediateAdvanced Spoken BasicIntermediateAdvanced Chinese Written BasicIntermediateAdvanced Spoken BasicIntermediateAdvanced 2. Do you speak any language other than English? NoYes ThaiBahasa IndonesiaVietnameseOther Please Specify: I declare that my personal details above are true and correct. I accept that the Organiser bears no responsibility for any error or omission. I confirm that I have read and agree with Terms and Conditions (PDF File) and House Rules (PDF File). *The information provided in this form will be used for the purpose of processing your registration and communicating with you on matters relating to or in connection with the APLIC,2022. You have the rights of access and correction with respect to your personal data held by us. Title* ---Mr.Ms.Mrs.Dr. Family Name* Given Name* Passport No./ID* Insurance Company* ---AIA Group LimitedAltruist Financial Group LimitedAXA GroupBOC Group Life Assurance Company LimitedChina Life Insurance (Group) CompanyChubb Group Holdings IncPing An Insurance (Group) Company of China , LtdChina Taiping Insurance Group Co., LtdFTLife Insurance Company LimitedFWD Life Insurance Company (Bermuda) LimitedThe Great Eastern Life Assurance Company LimitedHong Leong Insurance (Asia) Ltd.Manulife (International) LimitedMassMutual Asia Ltd.MetLife LimitedPrudential Corporation AsiaSun Life Assurance Company of CanadaTahoe Life Insurance Company LimitedZurich International Life LimitedOther Please Specify : Address* Country/Region* Office Tel Fax Mobile No.* Your Email (required) *Please provide your address and/or e-mail address in full accuracy to ensure that you will receive the letter of confirmation for registration. Payment: SPECIAL PRICE SGD458 Quantity: Simultaneous Interpretation (S.I) Needed NoYes Choose the language: ---EnglishChineseThaiBahasa IndonesiaVietnameseOther Please Specify : Would you like to to become a volunteer of the APLIC 2022? NoYes 1. What is your level of proficiency in the English or Chinese? English Written BasicIntermediateAdvanced Spoken BasicIntermediateAdvanced Chinese Written BasicIntermediateAdvanced Spoken BasicIntermediateAdvanced 2. Do you speak any language other than English? NoYes ThaiBahasa IndonesiaVietnameseOther Please Specify: I declare that my personal details above are true and correct. I accept that the Organiser bears no responsibility for any error or omission. I confirm that I have read and agree with Terms and Conditions (PDF File) and House Rules (PDF File). *The information provided in this form will be used for the purpose of processing your registration and communicating with you on matters relating to or in connection with the APLIC,2022. You have the rights of access and correction with respect to your personal data held by us.