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1. Course 2: From Intention to Impact

Application Form

Date: 26 July, 23 August & 20 September 2022 (Tuesdays)

Time: 09:30 to 15:30

Normal Fee: Rs 34,500

Special Fee for Member: Rs 30,000

Venue: Business Mauritius, BM-MCCI Building, Rue du Savoir, Ebène Cybercity, Ebène.

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Please note that this course forms part of a syllabus with two other courses, namely;

Course 1: Embracing Complexity and Systems Thinking,

Course 3: Developing Business Opportunities.

Question Title

* 1. Company Details

Company Name

Address

Contact Person

Telephone

Fax

Question Title

* 2. Member or Non Member (Please tick as appropriate)

Member

Non Member

Question Title

* 3. Is your company planning to register for more than one participant to the syllabus (Course 1, 2 and 3)?

Yes

Maybe

Important Note: If your company registers two persons to the program (Course 1, 2 & 3), one extra person can register for FREE. You will be contacted by Dynamia team for more details.

Question Title

* 4. Participant’s Details

Mr/Mrs/Miss

Surname

Forenames

Job Title

NIC No.

Tel Office

Tel Mobile

Email Address

(SCAN COPY OF NIC TO BE SUBMITTED)

Question Title

* 5. Qualifications (Please tick as appropriate)

HSC

Others

Question Title

* 6. Payment Details (Please tick as appropriate)

Cheque

Cash

Bank Transfer

Cheques shall be drawn to the order of Business Mauritius and shall accompany the Application Form.
Payment shall be made at latest by the registration date.

Thank you for filling out the form. Please rest assured that your company's information provided will remain confidential.
This form is for ONE participant ONLY.

Business Mauritius, BM-MCCI Building, Rue du Savoir, Ebène Cybercity, Ebène
Tel: 466-3600 Fax: 465-8200 Email: training@businessmauritius.org