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Page 1: The 7 Habits of Highly Effective People ® REGISTRATION FORM · for FranklinCovey’s The 7 Habits of Highly Effective People®, Advantage Series and other related curriculum apart

Participant1 🀆VegetarianMealFullnameasperI/C(Dato'/Datin/Dr/Mr/Mrs/Ms):

MembershipNo.:

Designation:

Email:TelephoneNo.:

*🀆Member*🀆Non-member

Participant2 🀆VegetarianMealFullnameasperI/C(Dato'/Datin/Dr/Mr/Mrs/Ms):

MembershipNo.:

Designation:

Email:TelephoneNo.:

*🀆Member*🀆Non-member

Participant3 🀆VegetarianMealFullnameasperI/C(Dato'/Datin/Dr/Mr/Mrs/Ms):

MembershipNo.:

Designation:

Email: PROGRAMMEFEESTelephoneNo.: |RM3,233

*🀆Member*🀆Non-member|RM3,710

ORGANISATION'SDETAILS Theaboveprogrammefeeis inclusive of6%GST.

Organisation:ContactPerson: PROGRAMMEDETAILS&REGISTRATIONIndustry: 04-06December2017(Mon-Wed)Address: Tel:

Fax:

Email: Contact: FasraGSTIDNo.: Tel: 0362055550(ApplicableforCompanies/Individualsregistered Signature&CompanyStamp: Fax:0362055551withtheRoyalMalaysianCustomsDepartment) Email:[email protected]

Address: LeadershipResources(Malaysia)Sdn.Bhd.

D4-1-8(Level1),SolarisDutamas,

PaymentbyCheque No.1,JalanDutamas1,Bank&ChequeNo.: AmountRM: 50480KualaLumpur

GSTNo.:001788592128PaymentbyCreditCard 🀆Visa🀆MasterCardholder'sName: IMPORTANTNOTES:CardNo.: ExpiryDate: Registrationisonafirst-come-first-servedbasis.

IAuthorisePaymentofRM:Cardholder'sSignature: Date:

Ourprogrammescanbecustomisedtomeetyourin-housetrainingrequirements.Pleasecallfordetails.

5.Forincompleteattendanceandre-sitscheduletoanotherdates,a20%chargeofthetrainingfeewillbeimposed.6.Youcansubstituteanalternateparticipantifyoudeemnecessaryandwishtoavoidcancellation/transfercharges.

DATAPROTECTION

Mr.WooYeeSaik’soutgoingnatureandkeeninterestinlearningandcommunication

processescontinuetobethemainstayofhisapproachtotraining,andthishasbeennotedby

manyparticipantswhohaveattendedhisprograms.

TERMS&CONDITIONS

Onlyfullycompletedregistrationformwillbeprocessed.

The7HabitsofHighlyEffectivePeople®

1.Registrationswillonlybeconfirmeduponreceiptofpayment.

Please(✔)theappropriatecheckboxes.

REGISTRATIONFORM

Member(MIA/ACCA)

ThePuteriPacificHotel,JohorBharu

PARTICIPANTS'DETAILS FACILITATOR

Non-member

2.Registrationsmadewithoutpaymentaresubjecttocancellationwithoutpriornotice.

5.PrevailingGSTapplies

3.PaymentistobemadeatleastONEMONTHinadvancetoensureseatbookingisconfirmed.

4.Kindlymakecheques,markedA/CPayeeOnly,payabletoLeadershipResources(Malaysia)Sdn.Bhd.Toverifyyourpayment,pleaseensurethatyouprovideusyourpaymenttransactiondetailsandkindlyemailthemto:[email protected]

CANCELLATION/TRANSFER1.Uponconfirmationofregistrationandintheeventofparticipant(s)’scancellation/transfer,acancellation/transferfeeof30%ofthetrainingfeewillbeimposedforlatenotice/adviceofcancellation/transfer(lessthan14-daysnotice).

Mr.WooYeeSaikiscurrentlyaCertifiedTrainerforFranklinCovey’sThe7HabitsofHighly

EffectivePeople®,AdvantageSeriesandotherrelatedcurriculumapartfrombeingaPractice

LeaderforVitalSmarts’“Influencer”and“CrucialConversations”andsuiteofprograms.

Mr.WooYeeSaikhasbeeninvolvedinTrainingandEducationforovertwenty-fiveyears,andrunsworkshopsandseminarstohelpcustomersdeveloppracticalskillsintheareasofleadership,

managementandcommunication.

WooYeeSaik

2.Awrittencancellation/transfernoticemustbereceived14workingdaysbeforetheprogramdate,hence,wewillrefundfullpaymentalreadymade.3.Insuchaneventofcancellationwithnoticelessthan14-workingdays,anypaymentmadewouldberefundedafterdeductionof30%forlatecancellationfees.

4.Writtencancellation/transfernoticereceivedlessthan5-workingdaysbeforetheprogramdates,paymentmadewillnotberefundable.

7.Inthecaseofrequestingto(transfer)attendanotherprogramfromthecurrentlyregisteredprogram,mustbeofthesamevalueorhigherinvalue,anydifferenceinprice(shortfall)willbechargedaccordingly(e.g.,froma2-daysprogramto3-daysprogram;orfromlowerfeetohigherfeeprogram,currentfeerateprevails.Requestmustbemadeinadvancenotlessthan5-workingdaysbeforetheprogramdates.

PAYMENTDETAILS

PersonaldataisgatheredinaccordancewiththePersonalDataProtectionAct2010(Act709)

LeadershipResourcesMalaysiareservestherighttocanceltheprogramduetounforeseencircumstances.Wealsoreservetherighttomakealternativearrangementswithoutpriornoticeshouldwedeemitnecessary.Insuchaneventofcancellationofprogram,anypaymentmadewouldberefundedinfull.