ISACA Cybersecurity Nexus (CSX) Practitioner Boot Camp

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5 ISACA Cybersecurity Nexus (CSX) Practitioner Boot Camp An Official ISACA-CSX Training Organised by AKATI Consulting (M) Sdn Bhd March 2017, Cyberjaya - Malaysia CSXP is the first vendor-neutral, performance-based certification for cybersecurity professionals Your resume needs this! Why take CSX Practitioner Training at AKATI Consulting? Latest Official Course Material that comes with a 6-months lab access Instructed by a globally recognised and ISACA authorised instructor Skyrocket your career with this certification Practical and Hands-on Training Collaboration with classmates Real-world learning activities Gained not Given - ISACA Cybersecurity Nexus Practitioner is a practical performance driven certification exam and the winner of SC Magazine Best Professional Certification Program Instructor: Jason Scott Jason Scott has over 15 years of experience in the Cyber Security Field. Since coming to Comtech TCS more than 5 years ago, Jason has instructed basic network concepts and advanced configuration of Cisco routers and switches at the Joint Cyber Analysis Course as well as instructing Cisco s SCYBER course. Jason is one of 12 certified instructors for ISACA s CSX program and leads the ISACA CSX Train-the- trainer program. He has earned the following certifications: Navy Master Training Specialist CompTia A+, Net+, Sec+ CCNA CCNA Security SCYBER, and C EH Prior to joining Comtech TCS, Jason worked as an instructor for Training Wing 6 (TRAWING 6) as well as the system administrator for the Joint Mission Planning System (JMPS). Jason earned his Bachelor of Arts from Excelsior University and is currently pursuing his Masters in Cyber Security and Information Assurance from Western Governors University.

6 ISACA CSX PRACTITIONER BOOTCAMP, MARCH 2017 REGISTRATION FORM Please fill in the form clearly in CAPITAL LETTERS. All pages of this form must be completed. Incomplete forms will be returned. PERSONAL INFORMATION Full Name as per IC / Passport (This name will appear on the certificate): q Mr. q Mrs. q Miss q Ms. Home Address: City/Town: State: Post Code: Country: Mobile Phone No.: Personal EMPLOYER DETAILS Organisation Name: Title/Position: Sector (Specify Private / Public Sector): Business Address: City/Town: State: Business Post Code: Country: Business Phone No.: Business Fax No: COURSE INFORMATION Course Date: March 2017 Location: AKATI Consulting (M) Sdn Bhd Suite 1-15, Block 4807 CBD Perdana 2, Jalan Perdana Cyberjaya, Malaysia Course Title: ISACA CSX Practitioner Bootcamp FEES Training Fees: MYR 6,799 per pax (exam fees not included) Early Bird Fee: MYR 6,299/pax (registration & payment received on or before 3 March 2017) Group Discount Fee: MYR 5,999/pax (2 or more candidates from the same organisation) Exam Fees: MYR 1,999/per voucher ACL/CSX/01703/REGFORM Page 1 of 2 March 2017, CSX Practioner BootCamp

7 MODE OF PAYMENT PAYMENT IS DUE AT THE TIME OF REGISTRATION Payment must be made in MYR by cheque, money order/bank draft or bank transfer to AKATI CONSULTING (M) SDN. BHD. Please tick (Ö) the desired payment mode as follows. Cheque (Fill in Cheque number): Money Order/Bank Draft (Fill in document reference number): Bank Transfer Bank Name: CIMB BANK BERHAD Account Name: AKATI CONSULTING (M) SDN BHD Bank A/C No: SWIFT code: CIBBMYKL Bank s Address: KLIA SEPANG, LOT MTBD, 14(B), DEPARTURE LEVEL, MAIN TERMINAL BUILDING, KLIA SEPANG, SELANGOR, MALAYSIA AGREEMENT AND DISCLAIMERS Please read and understand the following disclaimer. Upon sending in this registration form, it is understood that you have understood, acknowledged and agreed upon the following terms of service: Fees must be paid before the start of the training. Registration is accepted on a "first come - first served" basis based on receipt of payment in full. If AKATI Consulting cancels a training: AKATI Consulting (M) Sdn. Bhd. reserves the right to cancel any trainings 15 days in advance if attendance is insufficient. In this case, AKATI Consulting (M) Sdn. Bhd. liability shall be limited to full refund of fees paid. If the candidate chooses to reschedule a training instead of receiving refund, the candidate will receive a refundable voucher valid for one year from date of issuance to reschedule. The burden is on the candidate to track when the one-year period expires, as AKATI Consulting (M) Sdn. Bhd. will not notify the candidate. If Candidate cancels a training: All cancellation or rescheduling requests received in writing with 15 days notice or more will incur a MYR500 cancellation fee or rescheduling fee (Refund = Amount Paid, Less MYR500). Written cancellation or rescheduling requests received five calendar days or more prior to the training will be given credit towards attendance at a subsequent training only (no refund) and will incur an additional MYR500 rescheduling fee. Cancellations received with less than five calendar days notice and "no-shows" will not be given a refund, nor credit toward a later program (unless there is a documented medical emergency). For registered candidates, yet to make full payment: Cancellations received with less than 10 business days notice and no-shows will be subjected to 100% of the training fees. I understand that the material and content of the CSX Practitioner Bootcamp are proprietary to ISACA and protected by appropriate intellectual property laws. ISACA has incurred great expense to develop, produce, and present the material and content of the CSX Practitioner Bootcamp. The material and contents may not be copied, transferred, exchanged, sold, disclosed, or otherwise disseminated to anyone outside the training, and may only be used by me for personal study. Any breach of this Agreement will be grounds for revocation of the certification designation, if awarded, and appropriate legal action. ISACA and COBIT are trademarks of the Information Systems Audit and Control Association, Inc. (ISACA), registered in the United States and other countries. Individuals who fail to comply with the ISACA CPE Policy may have their credential revoked. Individuals who have their certification revoked will be required to take and pass the exam and submit a completed application for certification. Renewal/recertification requirements are available in the ISACA CPE policy. Privacy Statement: All personal information collected on this form will be protected in accordance with applicable legislation. We will only disclose information for the purpose for which it was collected, and where appropriate, after obtaining the necessary consent from the individual. We will take reasonable steps to ensure the security of personal information that we hold, regardless of the form in which that information is held. This will include taking reasonable steps to prevent the misuse or loss of this information, or unauthorised disclosure, access to, or modification of this information. Applicant Signature (compulsory): Date (compulsory): Please mail / this completed Registration Form to: 1. Ms. Yubashree yuba@akati.com [M: ] 2. Mr. Alfred Tan Alfred@akati.com [M: ] 3. Ms. Joanna Woon Joanna@akati.com [M: ] AKATI Consulting (M) Sdn. Bhd. Suite 1-15, Block 4807 CBD Perdana 2, Jalan Perdana Cyberjaya, Malaysia T: E: hello@akati.com W: ACL/CSX/01703/REGFORM Page 2 of 2 March 2017, CSX Practioner BootCamp