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Year 2003
 
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Nomination is closed on 30/6/2004

Nominee's Name :

Mr. Madam Miss Dr.
Designation :
Company Name:
ROC No. :
Address :
Postcode :
City :
State :
Country :
Tel :
Fax :
e-mail :
Website :
Nature of Business :
No. Of Employee :
Annual Sales Turn Over :
(IN USD)
Primary Product/
Services :
Achievement
(Award, ISO and etc.,) :
Award Applied
(may apply
more than one) :
Excellence Brand
   
Excellence Service Quality
   
 Excellence Leadership
   

 

By submitting this application form, we understand and agree to :-

  • Pay a non-refundable processing fee of RM 500.00 (open nomination) or RM 100.00 to the organiser (cheque payable to e-Dynasty Holdings Sdn. Bhd.) for authentication purpose.
  • Participate in the sponsorship program and the sponsor fee must be paid within 10 working days after receiving the official mail notification of winning.

Declaration :-
We declare that the facts stated in this nomination together with the accompanying information are true, correct and have satisfied the eligibility criteria.





Please send the following attachment to the organiser as soon as possible :-
1. Company Registration ( Form 49 ) - photocopy
2. Corporate Profile
3. Nominee's 5R photographs (formal) 4 pcs.
4. Any relavant document to support your nomination

Organiser Secretariat :-
74-3, 2nd. Floor, Jalan Radin Anum 1,
Taman Sri Petaling, 57000 Kuala Lumpur

 
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