Register – ASIA LEADERSHIP AWARDS

ASIA LEADERSHIP AWARDS REGISTRATION FORM

NOTE: if your profile/ nomination is confirmed for Asia’s No.1 Brand & Leadership Excellence Award, a compulsory standard delegate fee of 25,000 INR or 350 EURO or 400 USD (Fee is charged for the services & benefits covered in it) is applied. There is no other further fee, is charged. In case of absence after confirming your delegate fee, We will send through Courier (DHL service)

Kindly fill the form below to submit your nomination. Before filling the form, refer award categories section found in the link, Award Categories

Your Name Prefix *

NAME *

MobileNumber with countrycode *

Email *

Whatsapp Number

NAME OF THE COMPANY / ORGANIZATION/ INSTITUTION *

ESTABLISHED/ WORKING SINCE *

OWNERSHIP PATTERN *

YOUR DESIGNATION / ROLE *

YOUR ANNUAL TURNOVER *

APPLYING AWARD FOR *

Your Country *

Your alternative Email *

Your Website

Your Facebook page link

CHOOSE YOUR AWARD CATEGORY *

Your Award Title *

YOUR ADDRESS *

YOUR MESSAGE / RECOMMENDATION *