PRESENTS
Nomination Form
Company Name
Registration
Address
Address line 1
Address line 2
City
Postal Code
Phone Number
Website / URL
Industry / Nature of Business
Title
Mr
Mrs
Dato
Datin
Tan Sri
Tun
Nominee Name
Nominee Contact Number
Nominee Email
Instagram (Nominee)
Facebook (Nominee)
Linkedin (Nominee)
Instagram (Company)
Facebook (Company)
Linkedin (Company)
Liason Officer Name
Contact No
Email
Achievements/Milestones
Previous Records/Award
Company Turnover (estimated) MY
Declaration (to be completed by CEO / Managing Director / Financial Controller / Director) I declare that the information submitted in this Nomination Form is true and complete. I authorise the Organisers to verify any information including but not limited to information related to our company and/or credit standing from third party provider(s ) as deemed necessary. I agree to adhere to the Rules and Regulations of the World Muslimpreneur, and such guidelines, regulations and instructions of the Organisers. I agree to abide by the decisions of the Judges and the Organisers and understand and accept that such decisions are final and binding and shall not be contested in any court of law. I further understand and agree that the Organisers reserve the rights to rescind the Award and make publicity of such decisions should the Organisers, at their sole opinion, decide that I have not been truthful or have failed to adopt an ethical standard befitting a recipient of the Award
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