Nomination Form for Training Course /

Workshop

Course Title: Team Building (Level II)

Training Date: 21 – 23 March, 2007

(1) Personal Details of Applicant

Full Name (write only in Block letter): ………………………………………………………

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Sex:
Date of Birth (DD/MM/YY):
Designation:
Name of organization:
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Duty Station of Applicant:
Contact Telephone No.:
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Contact E-mail:
….................
Male Female
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(2) Education

Degree, Diploma etc. ………………………………………………………

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(3) Please describe your job functions which are relevant to this training.

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(4) Please write 3 personal learning objectives for this course.

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(5) Are you able to commit to the full time of course? Yes
No

Nominee signature

Name ---------------------

Nomination Form – Team Building II

(To be filled & signed by the manager)
(6) I allow the applicant to participate full time throughout the whole
workshops.

Yes No

Manager’s signature

Name -------------------------

Nominations closing Date: 9 March 2007

Participant confirmation Date: 14 March 2007

Nomination Form – Team Building II