Download the Brochure Registration Form * 1 form per participant
Personal Details
	Title (Dr., Mr, Mrs, Ms,...)
	First and Middle Name (in caps)
	Last Name
	Job Title
	Company name
	Department
	Address ( Street and Number)
	Postcode
	City
	Country
	E-mail address
	Office Phone
	Mobile Phone
	Home Phone
	Booking contact: name and email
	Why do you want to take this course? How do you think it will make you more successful?
	Please 'upload' your colour photo for the Participant Book

The Participation Fee for the two days is US$ 15,000 for
a team of 8 to 12 participants from the same company
-- Individual applications will not be considered --

Payment Details
	Payment of the Fee is by Bank Transfer - before 22 October - in favor of:	Management Development Institute - Pvt Ltd A/C No. 01 4105796 01 Standard Chartered Bank, Plot #19-A, F-7 Markaz, Islamabad, Pakistan