wrc hrdf form 9th febwialmalaysia.com/wp-content/uploads/2016/11/wrc-hrdf-form-9th-feb.pdf3 mr....

CONFERENCESFEESConferenceRegistrationFees� RM1600.00Post-conference:LeadingwithQuestions� RM1200.00

*PleaseTicktheAppropriateBox(√)*EmployerswhoareregisteredwithPSMBaretoclaimforairfareanddailyallowancefor3day(s)inclusiveofthedaybeforetheconference.

Pre-event:CoachesNetworkingSession(CNS)on5April2017Time:7.30-9.30PM� Yes� No*CALCparticipantsonly

PLEASEREGISTERTHEFOLLOWINGPARTICIPANTSNo. ParticipantsDetails Email Gender DistanceToConference

LocationMealPreference

1. Name:I/CNo./PassportNo.:Designation:

� Male� Female

� >70km� <70km

� Vegetarian� Non-Vegetarian

2. Name:I/CNo./PassportNo.:Designation:

� Male� Female

� >70km� <70km

� Vegetarian� Non-Vegetarian

3. Name:I/CNo./PassportNo.:Designation:

� Male� Female

� >70km� <70km

� Vegetarian� Non-Vegetarian

Note:1)Pleasenotethatallfieldsaremandatory.2)Pleaseuseaseparatesheetifyouaresendingmorethan3participants

AUTHORIZATIONFORLEVYDEDUCTIONFORHRDFREGISTEREDEMPLOYER PAYMENTINFORMATION(TOBEFILLEDBYNON-HRDFREGISTEREMPLOYER)Ideclarethattheparticipantslistedaboveareemployersofourcompany.I,……………………………………..(Name)herebyagreethattheconferencefeesamountingtoRM……………(RinggitMalaysia:……………………………………….)istobedebitedfromourlevyaccount,intheeventtheabove-mentionedparticipantsfailtoattend,PSMBreservestherighttodebittheabovefee.Signature:Date:Name:MYCoID:ccccccccc Designation: *(Chairman/GeneralManager/Manager/HRExecutives) *DeletewhereinapplicableOrganizationstamp:

PaymentInstructions1. Conferencefeemustbepaidinadvancepriortotheevent2. Paymentviachequeshouldbecrossedandmadepayableto“WIALAffiliate

(Malaysia)SdnBhd”.3. PaymentmustbetransfertoMAYBANKaccountnumber514347616418.4. Registrationformmustbesubmittedtogetherwithproofofpayment.5. ForOverseasdelegationpleaseemailusforpaymentarrangement.

PaymentDetails(PleaseSpecify)

� ChequeNumber&Bank________________________� Cash(RM)____________________________________

Note:Confirmationofregistrationisuponreceivedorchequeclearance

SUBSTITUTIONANDSUBMISSIONOFREGISTRATIONFORM PLEASEEMAILORFAXTHISFORMTO:o Onlyallowedbeforetheissuanceofconfirmationletterand

requestmustbemadeviaemailorfaxtotheorganizerbefore15March2017

o Anychangesafterthedeadlineswillnotbeentertainedo Acceptancewillbeonafirstcomefirstservebasiso PleasesubmittheregistrationformstoourWRCCommittee.For

furtherenquiryaddressthemto(wrc2017@wialmalaysia.com)

WIALAFFILIATE(MALAYSIA)SDNBHD.No.10-2-1JalanMedanPutra3,MedanPutraBusinessCentre,52200KualaLumpurFAX:+60362742953EMAIL:wrc2017@wialmalaysia.com

ORGANIZATIONDETAILS

ContactPerson Organization Address Telephone City MobilePhone

State Fax Postcode Email Country

TrackPreferencesforParticipantsTRACKAc Session1c Session2c Session3

TRACKBc Session1c Session2c Session3

TRACKCc Session1c Session2c Session3

MESSAGEFROMWRC2017CHAIRMAN

DearDelegates,

ItiswithgreatpleasurethatweinviteyoutoparticipateintheWIALRegionalConference2017(WRC2017)tobeheldatConcordeHotelinKualaLumpur,Malaysiafrom6thto7thApril2017.Therewillbepre-andpost-conferenceworkshopeventson5thand8thApril2017.

TheoverallthemeoftheConferenceis“ActionLearning:ThePerformanceChangerinAVUCAWorld”,withthe sub-theme, “Collaborate, Engage and Transform Leaders”. Our two days Conferencewill focus on twoareas:discussionsonenhancingperformanceinpeopleandleadersthroughactionlearning,andexperiencingreallifeapplicationsofaforementioneddiscussions.

Concorde Hotel (http://kualalumpur.concordehotelsresorts.com) is in the heart of Kuala Lumpur, a city ofcontrastanddiversity.ItislessthanakilometerawayfromtheiconicPetronasTwinTowersandKualaLumpurTower.GettingaroundinKualaLumpurisrelativelyeasywithgoodtransportinfrastructure.

ShouldyouhavefurtherqueriesabouttheWIALRegionalConference(WRC),pleaseaddressthemtotheWRC2017committee(wrc2017@wialmalaysia.com).

OnceagainIextendmywarmgreetingstoallattendeesandIbelieveyouwillenjoytheConferenceaswellasthebeautifulcityofKualaLumpur.

Thankyou.

Bestregards,

WilliamTeoM:+60163359744E:william@wialmalaysia.comW:www.wialmalaysia.comOrganizingChairmanWRC2017

Anoverviewoftheconference:

5Plenary,2activities,3breakouts,2networkingsessions.

PlenarySpeakers:

1 Dr.MichaelMarquadt(ALandItsImpactinLeadershipDevelopmentinaVUCAWorld)2 Dr.BeaCarson(TripleValueofActionLearning:BreakthroughSolution!TeamDevelopment!LeadershipDevelopment!)3 NadiaTan4 RonMcLuckie(CompleteBusinessTurnaroundCaseStudy)5 TanSriDr.Palan,Phd(AcceleratingLeadershipDevelopmentthroughActionLearning)

TRACKA

SESSION WORKSHOPSPEAKER

1 Dr.MichealMarquadtUnderstandandappreciatetheconceptsandbenefitsofActionLearningbyitsfounder.AfirsthandexperiencewatchingDr.MichaelMarquardtapplytheALprocess.

2 Mr.JayanWarrier

AppreciativeInquiry:AdialogicmodelofchangeleadershipinAVUCAWorld

3 Mr.RonMcLuckie

SeniorExecutiveActionLearning(SEAL)Programme

TRACKB

SESSION WORKSHOPSPEAKER

1 Dr.BeaCarsonVirtualActionLearning

2 Mr.ColinYeow

CognitiveCollaboration–WorkingSmarterinaVUCAEconomy

3 Mr.PeterCauwelierTeamPsychologicalSafety–whatGooglediscoveredabouthighperformanceteams.

TRACKC

SESSIONWORKSHOPSPEAKER

1 Mr.WaiKLeongTeamCoaching

2 Prof.Loredana

ActionLearning–asustainablebridgebetweenacademiaandindustry

3 Ms.FazKamaruddinTheAirAsiaActionLearningJourney

PRE-EVENT

CoachesNetworkingSession(CNS)–Connect,Create,Celebrate

5thApril2017

7.30pm–9.30pm@ConcordeHotelKualaLumpur

POSTEVENT(Additionalcost):

PostEventprogram–LWQ:LeadingWithQuestionsWIALApprovedCertificationprogramdeliveredbyDr.MarquardtforattendeeswhohavecompletedtheirFoundationandCALC(CertifiedActionLearningCoach).

Participantsofthis1daypost-conferenceprogramwillbecertifiedtodeliverthe“LeadingwithQuestions”program.Thefollowingresourceswillalsobemadeavailableattheend:

1. Ongoingaccesstothe3-hourpodcastofTrainersLwQ

2. The“LeadingwithQuestions”bookbyDr.MarquardtandtheLwQworkbook

3. CertificationforWIALCALCstoteachthiscourse

4. Accesstoslidesandworkbooksforuseandreprinting

5. CredentialslistedontheWIALwebsite

Date&Venue:8thApril2017:ConcordeHotelKualaLumpur

Forfurtherinformationregardingeachsession,pleasevisitwww.wialmalaysia.com