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Leading With Impact – Enrolment Form

March 19, 2025 2025-04-11 21:49

Leading With Impact – Enrolment Form

Course Enrolment Form

Leading With Impact -
From Tazkiyah to Transformation

Please submit the application form below to apply for a place on the Leading With Impact training programme. You will be informed of the status of your application and any additional steps required via email within 14 days of your application. You make be required to attend an interview.

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Email *

Full Name *

Address *

Country of Residence *

photo current previous

City *

WhatsApp Mobile No. (including country code) *

Age *

Gender *

Male
Female

Marital Status *

Single
Married

Profession *

Educational Qualifications *

List any previous leadership programmes you have attended *

Hobbies and Special Interests *

Allergies, Dietary or Accessibility Requirements *

Will you require a visa for travel to Malaysia? *

Will you require onsite accommodation at IIUM? *

Emergency Contact Name and Number *

Outline your vision as a leader, the values that guide you, and key personal and professional achievements that highlight your leadership potential. Explain how the training will help you achieve your vision and enhance your leadership skills.[500 words] *

Please provide the names and contact details (email and mobile no.) of 2 referees to support your application *

Upload a current Selfie photo *

Please upload your current resume *

Upload a video recording sharing your vision as a leader, the values that guide you, and key personal and professional achievements that highlight your leadership potential. Explain how the training will help you achieve your vision and mission and enhance your leadership skills. [3 mins max.] *

Upload video files only (.mp4, .mov, .mpg, .wmv or similar). Only video submissions will be accepted.

How did you hear about us?

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iLeadinstitute
Email
Friend/Associate
IIUM Website
Other

Any other details the Organisers should know *

Contact

events@ileadinstitute.uk

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Leading With Impact – Enrolment Form

Leading With Impact – Enrolment Form

Course Enrolment Form

Leading With Impact -From Tazkiyah to Transformation

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Leading With Impact -
From Tazkiyah to Transformation