2013

Visit www.hrasiamedia.com/awards/nomination to submit online.

Organization Details:
Full Name of Organization: Head Office Location: Address:

* required fields Note: this the name that will be used, should you organization place on the Best Companies to Work for in Asia 2013 list.

Website URL:

Company Champion Details:

Title: First Name: Last Name: Job Title: Telephone: Telephone Extension: Email: Fax: Mr / Ms / Mrs

* required fields

Name of Secondary Company Champion

(in case of absence of Primary Company Champion):

First Name: Last Name: Job Title: Telephone: Email: Fax:

Organization Summary Information:

* required fields

In order to confirm you participation of the award, please complete the information below. If you have any queries please call HR Asia on +603 7880 3511, thank you.

Organization Name: Date Founded: Number of Years in operation in the specific market: Industry: Please provide a brief description of your business:
(month) (year)

Total number of employees on your organization's payroll

Full-time Employees: Part-time Employees: Total:

Do not include employees on external secondment/implants, freelancers, sub-contractors.

Above number must be at last 100 at time of survey administration in order to maintain list eligibility. Eligibility will be confirmed to each organization upon review of all declared organization summary information.

Payment Information
The nomination fee is US$1000.

Payment Method:

Invoice

Credit Card
Please scan and email the form to hraward@hrasiamedia.com