Young Leaders Development Program (YLDP) Registration Form
The Young CARE Leaders Development Program is a one year development program (Starting 22nd February 2020 - December 2020) designed specifically for healthcare professionals who are at their early career stage. This program comprises of 3 physical workshops and a series of online meetings, will facilitate your learning within the program and allow you to acquire specific skillsets and practice it at your workplace. The flexible schedule and self-paced learning will allow you to participate in this program with your full-time job.

The workshop is aimed at allowing you to find out more about yourself, upscale your executive skills and:

- Take charge of your own career and embark on your next growth phase
- Be the leader in your team, organization or community
- Network and gain feedback from peers from other healthcare organizations
- Gain 1-1 coaching experience with our career coach

During the workshop, you will also have the opportunity (and choice) to develop your own leader’s project. The first workshop will be held on Saturday 22nd February 2020, 8am-1pm at Trove Hotel, Johor Bahru, Johor.

There are 3 tiers of pricing:
(a) Tier 1 - Individuals from Public: RM 1500 per person
(b) Tier 2 - Individuals from Malaysian Pharmaceutical Society / Young Pharmacists Chapter: RM700 per person
(c) Tier 3 - Individuals who are Provisionally Registered Pharmacist or from Malaysian Pharmacy Students’ Association: RM 600 per person

- Fees cover participation for the workshop, and do not include accommodation, meals or transport.
- Public Definitions: Individuals who are NOT members of MPS, YPC, MyPSA or Provisionally Registered Pharmacist
- By choosing Tier 2 or Tier 3, you would need to provide MOH registration number and MPS membership number for verification

By signing up, you confirm that you will be able to attend Workshop 1 on 22nd February 2020, and will be able to pay the workshop fees no later than Thursday 20th February 2020.

Please note that we will send you a confirmation email, to finalize your registration.

This registration form will take approximately 15 minutes to complete. You are encouraged to include as much details as we continue to develop the program and improvise based on the candidate pool. Your valuable input will help us immensely in delivering best content in this program.

Thank you and we looking forward to have you on board. If you have any questions, please do not hesitate to contact our committee members.
Name as per NRIC *
Your answer
Email address *
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NRIC Number *
Your answer
Contact Number *
Your answer
Current company/institution *
Your answer
Position in company/institution *
Your answer
YLDP registration tier : *
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