Registration Form Fee Per Person
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REGISTRATION FORM FEE PER PERSON: Regular RM600 Early Bird RM480 (Register by 23 May 2013) Group Registration Group Registration Member / Staff of Supporting (Three or more delegates With Early Bird Discount & Sponsor Organisation from the same organisation) (Registration by 23 May 2013) RM430 per person RM540 per person RM430 per person SALUTATION Tan Sri / Puan Sri / Datuk / Datin / Mr / Madam / Miss / Mr PERSONAL DETAILS First Name: Last Name: Company: Job Title: Office Address: Telephone: Malaysia has had its fair share of crises, from the 1987 recession Fax: to the Asian currency crisis to the 2008 financial crash. We have weathered the storms but the world in which we are in is anything Mobile No: Email: but calm. Uncertainties abound, with the world rocked by new HOW DID YOU HEAR ABOUT THE FORUM? economic troubles, and a constantly changing environment presenting Malaysia with new challenges as well as opportunities. The Malaysian Malaysia BFM Online / Other (please Reserve SME 89.9 Email specify): How will the nation fare in the years ahead leading up to the goal year of Vision 2020? What are the issues that we have to tackle GROUP REGISTRATION: REPRESENTATIVES’ INFORMATION as a nation in order to succeed in the 21st century? No Name Designation Vegetarian (Y/N)* Contact No / Email To address these concerns, Perdana Leadership Foundation is organising its fifth CEO Forum on the 18th of June 2013 in Berjaya Times Square Convention Centre, Kuala Closing KEYNOTE Lumpur. Once again, more than thirty Malaysian CEOs and industry experts will give their opinions on a wide range of issues such as Malaysia’s external challenges, the nation’s Address by Tun SWOT report card, our talent development channel via higher education, the future of Dr.Mahathir our natural resources, and the development of the Islamic finance industry in Malaysia Mohamad in an event that promises fresh interactions and new insights. This key Forum aims to highlight the trends, predictions and outlook for Malaysia in 2013. *Please specify other special requests: The one-day event consists of one plenary and nine concurrent sessions, including a Special Session with Ernst & Young with a closing keynote address by none other than PAYMENT OPTIONS the fourth Prime Minister of Malaysia, YABhg Tun Dr. Mahathir Mohamad. Cheque to “Perdana Leadership Foundation” (in Ringgit Malaysia) If you hunger for meaningful dialogue, frank discussions and unique perspectives, Cheque / Bank Draft No: Cheque Amount : as well as the chance to exchange views and ideas with experienced members of the country’s corporate sector, the Perdana Leadership Foundation CEO Forum 2013 is an event not to be missed. Telegraphic Transfer: Please contact Cik Maizatul Kartini at Tel: (603) 8885 8965 [email protected] for further information about telegraphic transfers Payment can also be made online at www.perdana.org.com.my/ceoforum Date: 18th JUNE 2013 CONFIRMATION CANCELLATIONS AND SUBSTITUTIONS (8.30am – 6.30pm) You will receive an acknowledgement by fax or email shortly after receipt of Any cancellation made on or before 1 June 2013 will incur an administrative Early bird discount your registration form. Your registration will be confirmed upon full receipt charge of RM50. For any cancellation after 1 June 2013, no refunds will be of 20% when you of payment. made. Venue: Berjaya Times Square register by 23 May TERMS AND CONDITIONS I hereby agree to the fees and terms and conditions stated on this page Convention Centre, The forum participation fee covers the forum sessions, lunch and breaks Kuala Lumpur 2013. and forum literature. Fee does not include travel and accommodation costs. Delegates agree that Perdana Leadership Foundation may use the information gathered in this form to provide service for other Perdana Leadership Who Should Attend: CEOs, COOs, Directors, Heads of Foundation-related activities and events. Perdana Leadership Foundation Department, General Managers, retains all rights to any photos or videos taken during the Forum. Business Owners, and all who are Signature interested to gain business insights Email / Fax completed form to : [email protected] / [email protected] / [email protected] / Fax : (603) 8889 1166 Contact person : Maizatul Kartini / Imanizah Selamat / Izyan Syazwani, Tel* : (603) 8885 8965 / 8960 / 8953 PROGRAMME* 0830 OPENING CEREMONY 0900 PLENARY SESSION “The Rest of the World and Malaysia: External Challenges to Malaysia’s Growth” 1100 COFFEE BREAK 1115 CONCURRENT SESSION A: “A SWOT Analysis of Malaysia: Taking a Realistic View of the Country” CONCURRENT SESSION B: “Digital Business: Game Changers of the Technology Realm” CONCURRENT SESSION C: “Water, Energy, Oil & Gas – The Real Issues, Current Scenario & Future Projections” 1245 LUNCH TALK 1400 CONCURRENT SESSION D: “Taking Higher Education in Malaysia from the Industrial Age to the Knowledge Era” SPEAKERS INCLUDE: CONCURRENT SESSION E: “Making KL the world’s most livable city: What do we need to do?” DATO' MOKHZANI MAHATHIR MR RAUF RASHID TENGKU DATO’ ZAFRUL TENGKU (SapuraKencana Petroleum Berhad) (Ernst & Young) ABDUL AZIZ CONCURRENT SESSION F: (Maybank Investment Bank Berhad) “Islamic Banking and Finance - Taking Malaysia from Good to Great” *TAN SRI MOHD SIDEK HASSAN DATO' AZHAR ABDUL HAMID (PETRONAS) (MRT Corp) *DATO’ SRI CLEMENT HII CHII KOK (SEGi) DATO' DAN E KHOO PROFESSOR DR. ABDUL GHAFAR 1535 SPECIAL SESSION WITH ERNST & YOUNG (MDeC) ISMAIL *DATUK PROFESSOR (UKM) DR. ROZIAH OMAR DATO’ SRI MOHD EFFENDI (MOHE) 1645 CLOSING SESSION: NORWAWI ENCIK BADLISYAH ABDUL GHANI High Tea & Closing Keynote Address by YABhg Tun Dr. Mahathir Mohamad, Fourth Prime (Encorp) (CIMB Islamic Bank Berhad) *MR STEWART FORBES Minister of Malaysia & Honorary President, Perdana Leadership Foundation (MICCI) *MR CARLOS LACERDA MR WAN MOHD NAZRI WAN OSMAN (Microsoft Malaysia) (BNM) *MR ZAINAL AMANSHAH (InvestKL) *Subject to Change at organiser’s discretion MR SAJITH SIvANANDAN *TAN SRI DR. SULAIMAN MAHBOB (Google Malaysia) (Jambatan Kedua Sdn Bhd) *TAN SRI DATO' SRI LIEW KEE SIN Organised by Major Sponsor Venue Sponsor Sponsors (S P Setia Berhad) *MR AFZAL ABDUL RAHIM *DATO' DR. MAHANI ZAINAL ABIDIN (TIME) (ISIS) MR KARAMJIT SINGH (Digital News Asia Sdn Bhd) IR. AHMAD HADRI HARIS *Tan Sri Dato' DR. Ramon v. (Malaysian Green Technology NAVARATNAM (ASLI) *Invited Corporation) *DATUK PAUL LOW SENG KUAN DR. MOHD ZAMZAM JAAFAR (Transparency International Malaysia) Official Media Partners Official Venue (MALAYSIA NUCLEAR POWER Corporation) *MR STEVEN WONG (ISIS) MR JOHAN MAHMOOD MERICAN (TalentCorp).