Title : *	Mr.Ms.Mrs.
Name : *	First NameLast Name
Permanent address :
Tel :	Mobile :
E-Mail : *
Date of Birth: *	Month January February March April May June July August September October November December   Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Country of Birth :
Citizenship :	Passport Number :
Marital Status :	SingleMarriedOther
Education :	High SchoolUniversity (4 years) College (1-2 years)Master/Ph.D
Thailand Address :
Tel :	Mobile :
Contact person in case of emergency : Relation :
Permanent address :
Tel :
Interested Courses :	E101 - Introduction to Gem & Gemology E102 - Gem Identification E103 - Diamond Grading & Pricing E201 - Colored Stone Grading & Pricing E301 - Synthetics & Treated Gem Identification E501 - Jewelry Design E502 - Jewelry Computer Aided Design E503 - Countertop Sketching E602 - Understanding Basic Gemology Program EWS01 - e-Commerce Workshop (อบรม นักธุรกิจออนไลน์) EWS02 - Gem Photography Workshop (อบรม การถ่ายภาพอัญมณี) EWS03 - Basic Diamond Grading and Pricing EWS04 - Basic Ruby & Sapphire Grading & Pricing EWS05 - Basic Ruby & Sapphire Treatments Identification Please Select 20 Sep 2010 - 24 Sep 2010 13 Dec 2010 - 17 Dec 2010 14 Mar 2011 - 18 Mar 2011 20 Jun 2011 - 24 Jun 2011 19 Sep 2011 - 23 Sep 2011 19 Dec 2011 - 23 Dec 2011 Please Select 01 Oct 2010 - 24 Dec 2010 05 Jan 2011 - 28 Mar 2011 04 Apr 2011 - 04 Jul 2011 11 Jul 2011 - 03 Oct 2011 05 Oct 2011 - 30 Dec 2011 Please Select 29 Nov 2010 - 28 Dec 2010 01 Dec 2010 - 30 Dec 2010 09 Mar 2011 - 05 Apr 2011 20 Jun 2011 - 18 Jul 2011 14 Sep 2011 - 11 Oct 2011 23 Nov 2011 - 22 Dec 2011 Please Select 03 Nov 2010 - 30 Nov 2010 07 Feb 2011 - 07 Mar 2011 23 May 2011 - 17 Jun 2011 17 Aug 2011 - 13 Sep 2011 14 Nov 2011 - 13 Dec 2011 Please Select 20 Sep 2010 - 01 Oct 2010 05 Oct 2010 - 02 Nov 2010 05 Jan 2011 - 01 Feb 2011 18 Apr 2011 - 18 May 2011 18 Jul 2011 - 15 Aug 2011 12 Oct 2011 - 09 Nov 2011 Please Select 11 Oct 2010 - 20 Dec 2010 18 Oct 2010 - 27 Dec 2010 Please Select 04 Oct 2010 - 20 Oct 2010 03 Nov 2010 - 19 Nov 2010 22 Nov 2010 - 09 Dec 2010 Please Select 13 Dec 2010 - 24 Dec 2010 Please Select 01 Nov 2010 - 26 Nov 2010 Please Select Please Select Please Select 20 Sep 2010 - 20 Sep 2010 03 Nov 2010 - 03 Nov 2010 Please Select 21 Sep 2010 - 21 Sep 2010 04 Nov 2010 - 04 Nov 2010 Please Select 22 Sep 2010 - 22 Sep 2010 05 Nov 2010 - 05 Nov 2010
Remark :
	What do you expect to get from the course?
Amount	USD
Payment Method :	Credit Card (VISA, Master Card) Paypal (Pay to: pay@aigsthailand.com) Contact AIGS (Cash, Bank Transfer, Cheque)