REGISTRATION FORM

 

To register, please print, complete and fax this form to Corporate Coach Academy Sdn Bhd at 03-2072 8899

Company's Details

Company's Name  
Address  
 
Contact Person    Position:
Telephone   Fax:  Email :


Program Registration
 

Program Types

Fees

No.Of
Participants

Total Fees (RM)

 
Certified Professional Coach Program
 

RM10,000

 

 

 

Participant/s Names In Full

 

No. Name in full Position Hand phone
       
       
       

Payment

Please prepare bank draft/cheque payable to Corporate Coach Academy Sdn Bhd.

Payment Type

 Name of Bank Cheque No. Amount (RM)
Bank draft/Cheque      

 

Direct bank-in [    ] (Please tick in box, if applicable) Maybank A/c : 514271131688
(Please fax us a copy of the bank-in slip for acknowledgement purpose.

Or post cheque to :             Corporate Coach Academy Sdn Bhd
                                         Lot 14.03A, 14th Floor, Wisma Cosway
                                         88, Jalan Raja Chulan
                                         50200 Kuala Lumpur

                                        Tel : 03-2070 9988  Fax : 03-2072 8899
                                        
I came to know of this COACHING PROGRAM through:
(Please tick box )      Coaching Articles        Email       Friends         Others   
 

    Corporate Coach Academy Sdn Bhd 650912-V
      Lot 14.03A, 14th Floor, Wisma Cosway 
      88 Jalan Raja Chulan, 50200 Kuala Lumpur
      Tel : 03-2070 9988     Fax : 03-2072 8899
                                                                                    Email: seminar@corporate-coach.com  Website: www.corporate-coach.com