Executive Healthcare Management Programmes Application

Executive Healthcare Management Programmes Applicationsbs2021-07-15T19:09:36+03:00

Executive Healthcare Management Programmes - Application Form

PLEASE COMPLETE IN BLOCK CAPITALS
Select Programme*
Official Names*
Preferred name(s) you like to be called:*
Date of Birth:*
DD slash MM slash YYYY
Domicile Country:*
Nationality:*
Industry*
Company or Organisation:*
Designation:*
Time spent in your current designation (Years)*
Company Telephone numbers:
Personal mobile number:
Official E-mail Address*
Personal E-mail address:*
Postal address:
Physical address:
Total staff reporting to you:
Average annual turnover (KShs):
PERSONAL ASSISTANT/SECRETARY:
Name:
Email address:
Mobile Number:
CANCELLATION POLICY
All cancellations must be made in writing to the Program Manager. Cancellations made less than 14 days to thecommencement of the seminar, are subject to a penalty of 25% of total program fee.
- I agree to the terms of the cancellation policy as detailed above.
Date:*
DD slash MM slash YYYY
Are you responsible for Training and Talent Development in your organisation?*
- Yes
- No
Would you like to receive our weekly newsletter (At a Glance)?*
- Yes
- No
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