REGISTRATION FORM .pdf

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CRANFIELD ASIA EXECUTIVE LEADERSHIP PROGRAMME
LEADING VALUE CREATION: STRATEGIC INNOVATION AND FINANCIAL LEADERSHIP
1 5



1 7

O C T

2 0 1 2 ,

H I L T O N

P E T A L I N G

J A Y A

RE GIST R AT I ON
First Name



H O T E L ,

M A L A Y S I A

FO R M

Last Name

Company /Organization

Position

Address

Country
Tel
Fax








PostCode/Zipcode
Mobile
Email

Website
Please enter your organisational type;



Manufacturer

Trade Consulate

Importer/Exporter

Trade Association/Chamber

ICT / Telco

Investor

Distributor

Banking/Financial Institution

Logistic/ Wholesale

Media

Retailer

Professional/Businessman

Government Institution

Embassy

Oil & Gas

Agriculture

Healthcare/ Pharmaceutical

Others (please specify)



Meal Preference


Vegetarian

Non Vegetarian

Programme Fees
Programme Fees : RM 5000 Per Participant (For Malaysian Delegates)

USD 2000 Per Participant (For International Delegates)

This registration includes :
·
Attendance at the Cranfield Asia Executive Leadership Program
·
Buffet lunch and refreshments each day of the Program
·
All learning materials that are handed out during the Program
·
Welcome networking dinner
Payment Details
Cross Cheque Payable to : K-PINTAR SDN BHD

Bank : CIMB BANK, LUCKY GARDEN BANGSAR, KL

Account No

Swift Code (International) : CIBBMYKL

: 1422-00000-38108

Do You Need Accomodation / Airport Transfer
Yes / No. If Yes please contact the organiser for the arrangements.
Local Participants
Participants are allowed to claim for airfare and daily allowances for 3 days inclusive of the day before the conference (HRDF Contributors).
You can bank in the payment to above account and email the registration form to – CAELP@k-pintar.my or fax it to +603 2284 4175 together with
the copy of your bank-in-slip.
International Participants
You can register at www.k-pintar.my/academy/cranfield, or fax to : +603 2284 4175 together with the copy of your telegraphic transfer document.
Terms And Conditions
1.
2.
3.
4.
5.
6.

Registration fee inclusive of lunch, refreshment and conference materials. Registration fee does not include accommodation.
Registration will not be processed until full payment made or your cheque is cleared.
Substitution or cancellation is only allowed before you receive the confirmation letter and must be made in writing, via mail or fax before 30th September 2012.
Any changes later than the date will not be entertained.
Conference Attire – Business Casual
Accommodation – Hotel arrangements and reservation can be made through program organizer.

Post/Fax it to : K-PINTAR SDN BHD



Suite C-13-6 13th Floor
Wisma Goshen Plaza Pantai



Tel : +603 22844148
Fax: +603 22844175

REGI
ST
NOWER

59200 Kuala Lumpur Malaysia
Or register online at www.k-pintar.my/academy/cranfield before 30th September 2012. For enquiry, please email us at CAELP@k-pintar.my


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