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Alternatively you may download the form and email it to us below.

Details of applicant:

* Indicates required field

Name (as in NRIC) *

NRIC (required for NCSS or IBF funding application) *

DOB (dd/mm/yy) *

Email *

Please Confirm *

I have checked and confirmed that my email is correct.

Organisation *

Occupation/Role *

Date Joined (dd/mm/yy - required for NCSS funding) *

Select Workshop *

How did you get to know of the above workshop? *

Delivery address (online courses only) *

Delivery Postal code *

Mobile Number *

Sponsoring Company Address (for billing purposes) *

Office Postal code *

Company UEN (required for NCSS or IBF funding application) *

Office Number *

Is your company/organisation sponsoring you for the course fees? *

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Comment *

Details of in-house course coordinator:

Name *

First

Last

Email *

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Contact Number *

1-Day Workshop Fees
         What Motivates Me Engagement Training
Corporate in-house S$ 880
(call for more details)
Early bird period (face-to-face) S$ 880
(30 days prior to workshop)
Public workshop (online) S$ 880 per pax
Public workshop (face-to-face) S$ 980 per pax

2-Day Workshop Fees
         Authentic Leadership Conversations   Principles of Persuasion
Corporate in-house    S$1,650 S$ 1,650
(call for more details)
Public workshop (online) S$ 1,650 per pax S$ 1,650 per pax
Public workshop (face-to-face) S$ 1,750 per pax   S$ 1,750 per pax

For all online courses, courier charges for delivery of materials of $15 will apply.

Terms and conditions:
* I confirm that the above information is correct and consent for Erevna Leadership LLP and Erevna Leadership Asia Pte Ltd and third parties to use and store the above information for administration, logistics and marketing purposes.
* Workshops are conducted by a licensed facilitator certified by the relevant principals.
* For public workshops (face-to-face), fee includes the original licensed training materials, best-seller book (where applicable), buffet lunch and refreshments at a 4 star hotel venue for the duration of the course.
* For corporate in-house runs, fee includes the original licensed training materials and best-seller book (where applicable). However, training venue and refreshments are excluded.
* Applicants will be notified on the terms of payment upon registration.

Personal Data Protection Act statement
By submitting this form, I consent to:
(a) The collection, storage, retention, adaptation, modification, reading, retrieval, use, transmission, blocking, erasure or destruction (“Processing”) of the personal data provided by me (“Personal Data”);
(b) Erevna Leadership LLP and /or Erevna Leadership Asia Pte Ltd processing my Personal Data and contacting me about the programs and activities organized by Erevna Leadership LLP and /or Erevna Leadership Asia Pte Ltd including but not limited to newsletters and event information.

Cancellation Policy
If notice of withdrawal is given in writing:
- Between 7 to 14 days preceding commencement of program - 50% refund.
- Less than 7 days or no show - no refund.
Erevna Leadership LLP and/or Erevna Leadership Asia Pte Ltd reserve the rights to change the venue, cancel or postpone the event due to unforeseen circumstances.

By clicking submit, you agree to the terms and conditions, PDPA statement and cancellation policy stated above. We will follow up and contact you shortly after you have submitted this form.

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Fill up your information to register for a workshop

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