Genos Emotional Intelligence Practitioner Programme

20 - 21 February 2020
Event Details: Refer https://events.genosemotionalintelligence.com/exec-ideas-et-potential/

Location: The Meeting Point at The Launchpad@Ayer Rajah

73B Ayer Rajah Crescent, Singapore 139966
Dates: 20 & 21 February 2019 (9.00am – 5pm both days)

Registration Details:

Name: ...................................................................................................................................................................

Occupation/Position: .............................................................................................................................................

Company: .............................................................................................................................................................

Address: ................................................................................................................................................................

..............................................................................................................................................................................

Email: .............................................................................................. Phone: .......................................................

Please note that this email will be used to send you your pre-work self-assessment & further instructions on the nomination of your
raters for your 180-degree Genos Workplace EI Report which is required to be completed prior to attending the program.

Payment:
SGD2,800 per attendee
Direct bank transfer to Account Details below:

10% early bird discount - register before 20 January 2020.

20% discount ICF coaches / Startups (Please provide a copy of documentation)

Total Amount Paid:

SGD .............................(Please attach a copy of bank payment reference or screenshot of bank payment)

Signature:

......................................................... Name: .............................................................. Date: ............................

Return completed form and payment details by email to adrian@exec-ideas.com

Payment Method Account Name Account Number Bank / Branch

Electronic transfer to Executive Ideas Pte Ltd 712-479997-001 OCBC Bank

OCBC Bank (Singapore) Swift Code: OCBCSGSG 65 Chulia Street
OCBC Centire
Singapore 049513
Executive Ideas Pte Ltd (UEN: 201717904R) is partner of ET Potential a Genos International Business Partner