MILE

"Meet The Business Leaders in Madinah" Application

Personal Information

	Prefix
	Full Name *
	Position
	Company/Organization
	Website
	Company Logo
	Education Degree *
	University Name *
	Work Experience (years)
	Nationality *
	Image
	Personal Email *
	Work Email
	Mobile Number
	Who will pay the Fees? *		Myself (Self Finance) Sponsor (My Company)
	Name of contact person to raise invoice *
	Email *
	Mobile Number *
	Name of HR Manager *
	Email *
	Mobile Number *
	Will you join the Optional Umrah trip?
	Do you need Visa?
	Do you need Non-Muslim permit?
	How did you hear about us? *

	How would you like to pay?		Pay Online Using Secure Credit Card Bank Transfer

PALM 5 program concluded on May 30th 2013. Stay tuned for the announcement of PALM 6.

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