You are on page 1of 2

CORRPLUS GLOBAL CONCEPTS LIMITED

Time to Put Your Career on the Fast Track with CorrPlus Training!
COURSE NOMINATION FORM (N 2,500.00) ONLY

(1) NAME OF NOMINEE:______________________________________________________________________________________________________________

(2) COURSE(S) NOMINATED FOR:

1. ______________________________________________________________________________________________________

2. ______________________________________________________________________________________________________

3. ______________________________________________________________________________________________________

(3) NOMINATION COMPANY/ORGANISATION AND ADDRESS:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

(4) QUALIFICATIONS:

1. ______________________________________________________________________________________________________

2. ______________________________________________________________________________________________________

3. ______________________________________________________________________________________________________

4. ______________________________________________________________________________________________________

(5) WORKING EXPERIENCE:


A. PREVIOUS WORKING EXPERIENCE
_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

b. PRESENT DUTIES AND RESPONSIBILITIES


_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

(6) NONINATING OFFICER:_________________________________________________________________________________________________________________

POSITION:_______________________________________________________________________________________________________________

TELEPHONE:________________________________________________________________________________________________________________

(7) END OF COURSE CERTIFICATE:


TO BE HANDED TO NOMINEE:

TO BE SENT TO COMPANY/ORGANISATION:

(8) FEES ENCLOSED: __________________N BAL: __________________N WHEN TO BE PAID: ______________________________

(9) AUTHORISING OFFICER AND POSITION: ______________________________________________________________________________

(10 SIGNATURE OF AUTHORISING OFFICER: ______________________________________________________________________________

PLEASE NOTE THAT NOMINATION FEES MUST EITHER ACCOMPANY NOMINATION OR BE PAID ON REGISTRATION ON THE FIRST DAY OF THE COURSE

CorrPlus 2014 Education & Training Guide


CORRPLUS GLOBAL CONCEPTS LIMITED
Time to Put Your Career on the Fast Track with CorrPlus Training!

NAMES OF NOMINEE:

1. ______________________________________________________________________________________________________

2. ______________________________________________________________________________________________________

3. ______________________________________________________________________________________________________

4. ______________________________________________________________________________________________________

5. ______________________________________________________________________________________________________

6. ______________________________________________________________________________________________________

7. ______________________________________________________________________________________________________

8. ______________________________________________________________________________________________________

9. ______________________________________________________________________________________________________

10. ______________________________________________________________________________________________________

11. ______________________________________________________________________________________________________

12. ______________________________________________________________________________________________________

13. ______________________________________________________________________________________________________

14. ______________________________________________________________________________________________________

15. ______________________________________________________________________________________________________

16. ______________________________________________________________________________________________________

17. ______________________________________________________________________________________________________

18. ______________________________________________________________________________________________________

19. ______________________________________________________________________________________________________

20. ______________________________________________________________________________________________________

CorrPlus 2014 Education & Training Guide

You might also like