Registration Form
Course Name: Execution Leadership Masterclass
Course Dates: 6th & 7th July 2020
Venue: TBC
Facilitators: Jean-Michel Felix & Chee-Peng Tan
Course fees: USD 2,000 (includes 2-day course package and 1 night stay with meals at the hotel)

Thank you for your interest in our courses. Please complete the information below and ensure to write your name as shown in your National Identity Card/Passport.

Moreover please also fill in the HRDC G1 on time to be eligible for up to 70% or 75% refund.

For more information please contact us:
T: +(230) 402-0200
This course is done in collaboration with
Section A: Participant's Details
Family Name (as per ID) *
First Name(s) (as per ID) *
ID No./Passport No. *
Job Title *
Company *
Years of experience *
Years of experience in current position *
Work Email *
Personal Email *
Mobile No. *
Office No. *
Country *
Meal Preference
Select your meal preference *
Please specify any allergies/dietary restrictions:
Are you going to stay at the hotel at the end of Day 1? *
How did you hear about this course?
Please tick the box if agreeable:
Section B: Billing Details
Billing Company Name *
Business Registration No. *
VAT Registration No.
Billing Address *
Invoice to be addressed to: *
Billing Email Address *
Billing Contact No. *
Section C: Preferred Contact Details
Please provide us the contact details of the person we need to liaise with for all administrative matters if different from the participant's details.
Contact Full Name
Contact Job Title
Contact Phone No.
Contact Email Address
Cancellations and Substitutions
Cancellations within 5 days of the event will be non-refundable.
Cancellations within 10 days prior to the event date will incur 50% penalty.
Cancellations within 15 days prior to the event date will incur 30% penalty.
Cancellations within 30 days prior to the event date will incur 10% penalty.
Cancellations at 30 days prior to the event date will incur no penalty.
In the event that a course is cancelled registrants will be refunded the full fee.
You may substitute participants at least 5 working days prior to the beginning of the course.
All of the above should be made in writing to
This registration form should be accompanied by an approval from the company’s HR Department if sponsored and sent on

All payments must be received prior the start of the course and a proof of payment should be sent to Raginee Koothan-Mungur on

The organizers reserve the right to change the venue at their discretion.

By submitting this registration form you agree to its terms and conditions.
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