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) *
Your answer
First Name(s) (as per ID) *
Your answer
ID No./Passport No. *
Your answer
Job Title *
Your answer
Company *
Your answer
Years of experience *
Your answer
Years of experience in current position *
Your answer
Work Email *
Your answer
Personal Email *
Your answer
Mobile No. *
Your answer
Office No. *
Your answer
Country *
Your answer
Meal Preference
Select your meal preference *
Please specify any allergies/dietary restrictions:
Your answer
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 *
Your answer
Business Registration No. *
Your answer
VAT Registration No.
Your answer
Billing Address *
Your answer
Invoice to be addressed to: *
Your answer
Billing Email Address *
Your answer
Billing Contact No. *
Your answer
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
Your answer
Contact Job Title
Your answer
Contact Phone No.
Your answer
Contact Email Address
Your answer
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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