RQP Registration Form

Title:
Mr.Ms.Mrs.Dr.

English Name:*

Chinese Name:*

Sex:
 Male Female

Date of Birth:*
(DD/MM/YYYY)

Telephone (Office):

Telephone (Mobile):*

Fax no.

Email:*

Postal address:

Annual Registration:
 Six Sigma Green Belt, RQP(GB) - $500 Six Sigma Black Belt, RQP(BB) - $750 Six Sigma Lean Black Belt, RQP(LBB) - $750 Lean Leader, RQP(LL) - $500 Lean Specialist, RQP(LS) - $750 Six Sigma Master Black Belt, RQP(MBB) - $750 Six Sigma Champion, RQP(SSC) - $500 Design for Six Sigma, RQP(DFSS) - $500

Life Membership Registrationa:
 Six Sigma Green Belt, RQP(GB) - $2,900 Six Sigma Black Belt, RQP(BB) - $4,500 Six Sigma Lean Black Belt, RQP(LBB) - $4,500 Lean Leader, RQP(LL) - $2,900 Lean Specialist, RQP(LS) - $4,500 Six Sigma Master Black Belt, RQP(MBB) - $4,500 Six Sigma Champion, RQP(SSC) - $2,900 Design for Six Sigma, RQP(DFSS) - $2,900

 Renewal of RQP

Registration No. of certificate:

Please upload academic qualifications and working experience for registration

Method of Payment
 Cheque Cash Bank Transfer

Send cheque payable to Six Sigma Institute Ltd. to:

Unit 1627, 16/F, Star House, 3 Salisbury Road, TST,. Kowloon

or,

Transfer to SSI HSBC bank account to:

[004] 126-848001-001