This document is a yearly subscription form for the 2013 MSCPMP Circle. It collects information from subscribers such as their name, company, PMP certification details, and payment details. Subscribers can choose to pay an annual subscription fee of either RM300 for AsiaICTpm PMP Alumni or RM400 for others to receive benefits like attending forums, workshops, and earning PDUs.

1. 2013 MSCPMP Circle
YEARLY
Subscription Form

2. [New / Renew / Update]
Subscriber Information
Name: First Name:
(As in Passport) Last Name:
(Name registered with
PMI footnote 1)
Company (before) Designation:
(Default is PM)
Company (current) Email 1:
(Personal)
Company (current) Email 2:
URL: (Personal)
PMI ID: Mobile Phone:
PMP ID: PMP Trained by Yes / No
AsiaICTpm:
PMP Certification Joined MSCPMP No:
Date: Circle before (please If Yes :
circle) : 2008 / 2009 / 2010 / 2011
1. You may check your name registered with PMI at https://ccrs.pmi.org
2. Email 1, Email 2 or Mobile Phone is used to registered events
3. If you have obtained your PMP from others, please email a copy of your passport size photo to mpc@AsiaICTpm.com.

3. 2013 MSCPMP Circle Subscription Fee
One time registration fee Annual Subscription
AsiaICTpm PMP Alumni RM100.00 RM300.00
Others RM200.00 RM400.00
FIRST TIME Subscriber
1.AsiaICTpm PMP Alumni : RM100 + RM300 = RM400
2.PMP Trained by Others: RM200 + RM400 = RM600
Payable to MSCPMP Circle (Maybank 5-14169-15234-5)
Amount: ______________________ Cash / Cheque No: _______________
Bank: ______________________
Terms and conditions:
1.You will entitle to attend 2 Half Yearly Forums and one (1) additional SPECIAL EVENT free.
2.Earning you a total of 12 PDUs.
3.Enjoying 40% discount on all workshops organized by us which is conducted by international
experienced trainers.

4. How to make payment
Direct Transfer
1.Transfer the fund via Maybank2u.com / Maybank’s ATM machine into our
Maybank account No 5-14169-15234-5 (account owner Advanced Technology
Studies Center Sdn Bhd).
2.Print PDF payment receipt and the completed registration form
3.Email documents in (2) to us. Email: mpc@asiaictpm.com
By cheque
1.Please cross your check and make payable to MSCPMP Circle (Maybank 5-
14169-15234-5)
2.Bank in the cheque via Maybank’s ATM machine and scan or fax bank in
receipt.
3.Email documents in (2) to us. Email: mpc@asiaictpm.com