[S] AK Program Proposal Form Step 1 of 6 16% Personal DetailsName* IC Number* XXXXXX-XX-XXXXContact Number*Email* Do you represent a company/organization?* Yes No, just as an individual Name of your company/organization* Company/organization website Have your company/organization organized any programs with Al-Khaadem before?* Yes No Proposed Program DetailsProposed Program Name* Type of Program* Special Talk Course / Daurah / Seminar / Workshop Program Objective*Explain what is the program about and what are its objectivesLanguage* English Malay Admission* Free Paid Admission Fee*Please enter a number greater than or equal to 1.Disclaimer: 20% of the charged fee above will be donated to Al-Khaadem.Is food provided to the participants?* Yes No Are there any materials provided to the participants?* Yes No Handouts, notebooks, goodie bags, etc Speaker DetailsInstructor/Speaker Name* If more than one, separate the names using commaInstructor/Speaker Background*Education background and experience Proposed Program Time and DateIs this a one-day event?* Yes No Program Starting Date* DD slash MM slash YYYY Program End Date* DD slash MM slash YYYY Program Starting Time* : Hours Minutes AM PM AM/PM Program Ending Time* : Hours Minutes AM PM AM/PM Program Itinerary Target AudienceNumber of Participants*Please enter a number from 1 to 100.Gender* Female Male Mixed Age group* All ages Specific Minimum age*Please enter a number greater than or equal to 1.Maximum agePlease enter a number greater than or equal to 1. Terms and conditions1. All process of registration and payment will be handled by Al-Khaadem. 2. For marketing, you are required to design your own poster that abides by Al-Khaadem's marketing and branding guidelines - which will be emailed to you. 3. The poster must go through Al-Khaadem for proofreading and it will be blasted on our media platform thereafter. 4. You will be given the approved poster to be blasted on your own platform.Consent* I understand and agree to all of the terms and conditions set forth by Al-Khaadem
