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THE BOARD JOURNEY 2020


PRE-APPROVAL AND REGISTRATION FORM

Thank you for your interest in The Board Journey. We would appreciate if you could complete this pre-approval and registration form for acceptance review.


1 | PERSONAL DETAILS


Name :
Email :
Mobile:
-
Age:
Education:

2 | CURRENT OCCUPATION:


Company:
Designation :
Year Begun:
No. of Staff reporting to you :


Immediate Superior (if applicable)

Your Superior's Name:
Your Superior's Designation:


His/Her Immediate Superior (if applicable)

His or Her Designation :

3 | EXECUTIVE HISTORY (last held executive position)


Previous Company:
Last Held Position:
Year Start:
Year Ended:

4 | PROFIT & LOSS EXPERIENCE


Do you have P&L experience?
If Yes, please indicate:

5 | FUNCTIONAL COMPETENCIES/SKILLS 


List maximum up to 5:

6 | YOUR INDUSTRY EXPERTISE


List A maximum of up to 3 :


7 | BOARD EXPERIENCE


Are you currently sitting on any boards (public, private or non-profit)?
If Yes, please provide company name(s), your role and date appointed:

8 | BOARD PREFERENCE


If you aspire to serve on board, what are your industry preference:
Board outside Malaysia :
Board Type :


9 | PLEASE STATE YOUR PURPOSE FOR SIGNING UP THIS PROGRAMME.


Purpose:


10 | HOW DID YOU HEAR ABOUT THIS PROGRAMME?


Source:




REGISTRATION FORM

(Subject to Acceptance by Admission Committee)



Please register me for:


BILLING PARTICULARS



Contact Person :
Position :
Billing Company :
Mailing Address :
B_Tel:
B_Email :
Postcode :




FOR YOUR INFORMATION



Training Fee (remitted in advance) includes refreshment, lunch, course materials   |  HRDF Claimable


Course Fee:

Normal Fee: RM3,900+ per pax

Early Bird: RM3,315+ per pax (payment made before 17 January 2020)


Discount Code (if applicable):


To Register:

Please complete this Form and email to:

training@lead-women.com



Admission Criteria:

Admission to the Programme is limited to individuals with specific business or board experience. All applicants will be subject to review and approval from the Admission Committee.



Terms & Conditions:

Payment

  • Full payment must be made no later than event date
  • Cheque/Bank Draft should be made payable to LeadWomen Sdn Bhd
  • Direct Bank-in: CIMB Bank Account N. 8002618727, Swift Code CIBBMYKL
  • Please email payment advice to training@lead-women.com
  • Full payment must be made by 3rd February 2020.

Cancellation & Refund

  • Delegates who do not turn up at the event, the entire fee will be forfeited. No refund will be entertained. Outstanding invoices will still be due.
  • Cancellation must be received in writing to the Dr Marcella at marcella@lead-women.com strictly 10 working days before event.
  • Non-attendance does not constitute cancellation.
  • Administration fee of 20% will be charged for cancellation received less than 10 working days.

For Government Officials:

  • A local Order (LO) or Letter of Approval to participate must be sent 10 working days before start of the programme.

Disclaimer:

  • The Organiser reserves the right to change the date(s), Speaker(s), and venue and to cancel the programme should there be circumstances beyond the Organizer's control.