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WOMEN DIRECTORSHIP PROGRAMME SERIES

PRE-APPROVAL AND REGISTRATION FORM


Thank you for your interest in the Women Directors Programme. 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 Title:


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:



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 under SBL Scheme


Course Fee:

1) BTF : RM2,500+ per pax for Non-member, RM2,250+ per pax for Member

2) EBL : RM2,900+ per pax for Non-member, RM2,610+ per pax for Member

Note: Fee excludes GST 6%

To Register:

Please complete this Form and email to:  

Liza Chong
Programme Director
liza@lead-women.com

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 CIBBMYK
  • Please email payment advice to info@lead-women.com

Cancellation & Refund

  • Non-attendance does not constitute cancellation.  You can substitute an alternate participant for the same event.
  • Substitution/Cancellation must be received in writing to the Programme Director (liza@lead-women.com) strictly 7 working days before the event.
  • Administration fee of 20% will be charged for cancellation and no substitution received less than 7 working days
  • Delegates who did not turn up at the event, the entire fee will be forfeited.  No refund will be entertained.

For Government Officials:

  • A local Order (LO) or Letter of Approval to participate must be sent before or presented on the day of event.

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.


HOW DID YOU HEAR ABOUT  THIS PROGRAMME?

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