Crucial Influence – Leadership Resources Malaysia Event

Public Program Registration

Crucial Influence®

5 October, 2026

- 6 October, 2026

The Majestic Hotel, Kuala Lumpur

2 Days

9:00 am

- 5:00 pm

Single

Nomination

*RM 3,200

per pax

*This fee is not inclusive of 8% SST.

Multiple

Nominations

*RM 3,000

per pax

*This fee is not inclusive of 8% SST.
*The nominations are from the same organization.

Registration Form

Crucial Influence, 5 - 6 October, 2026

Organization Details

Organization Name

Address

Contact Person

Telephone

Participants Details

Number of Participants

Participant

Full Name	Mobile Number	Email	Designation	Meal Preference

Approving Details

Approving Manager

Designation

Date

Claims & Grant Eligibility

HRDF Claim

None

SBL KHAS

Payment Details

Payment Amount

Total Payment

Payment Amount

8% SST

Total Payment

DIRECT BANK IN

Banker : HSBC Bank Malaysia BHD
Payable To : LEADERSHIP RESOURCES (M) SDN BHD
Account No : 302 558879 001

I have read and agree to the Terms and Conditions.

Public Program Registration

Crucial Influence®

5 October, 2026

- 6 October, 2026

The Majestic Hotel, Kuala Lumpur

2 Days

9:00 am

- 5:00 pm

Single

Nomination

*RM 3,200

per pax

Multiple

Nominations

*RM 3,000

per pax

Registration Form

Organization Details

Participants Details

Approving Details

Claims & Grant Eligibility

Payment Details

Exclusive authorised licensee

Leadership Resources (M) Sdn Bhd

D4-1-8 (Level U1), Solaris Dutamas, No.1, Jalan Dutamas 1, 50480 Kuala Lumpur.

info@leadershipresources.my

+603 6205 5550

+603 6205 5551

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