Course Registration Form COMPLETE FORM BELOW TO REGISTER FOR A COURSE Participant Family Name ( Surname ) First Name (s) Gender Male Female Date of Birth Marital Status Single Married Widowed Divorced Separated Registered Partnership Mailing Address Email Address Mobile No. Alternative No. Training Activity Course Title Certificate in Pensions Administration Certificate in Strategic Investments of Pension Funds Venue SU Tower (In-Person) Zoom (Virtual) SCHEME/INSTITUTION Scheme / Institution Name Scheme / Institution Address Scheme / Institution Telephone Scheme / Institution Email Educational Background Academic Qualifications Full Name of Institution Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Outlying Oceania Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Samoa San Marino São Tomé & Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands South Korea Spain Sri Lanka St Barthélemy St Helena St Kitts & Nevis St Lucia St Martin St Pierre & Miquelon St Vincent & Grenadines Sudan Suriname Svalbard & Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Outlying Islands US Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Western Sahara Yemen Zambia Zimbabwe Duration From To Relevant Professional Courses Course 1 Course 2 Duration From To Professional Activities Present Occupation From (Date) Institution, Organisation or Company Business Address Telephone Email Personal Statement Explain why you are applying for this course, what you hope to learn from it, and how it will benefit your professional development and your institution/organisation Personal Statement Participant Statement I declare that the above information provided by me is true and correct. I also declare that, to the best of my knowledge, my health will allow me to undertake the proposed training programme. Candidate's Signature Date How did you learn about the course?
