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Application Form

Award

BBEA KUALA LUMPUR

First name*

Last name*

Phone*

Email*

Position

Company / Organization name*

Company Registration Number*

Name of CEO /MD*

Company / Organization Email*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Business Type / Industry*

Incorporation Date*

Month

Day

Year

Number of Employees

Average Revenue Growth over the past three years*

Are you fully compliant with all the relevant statutory requirements?*

Yes

No

What categories would you like to participate in?*

Start Ups

SME

Leadership

Individuals

Corporates

NGO

ESG

Public Listed Companies

Government Listed Companies

Tower 3, Level 15, Unit 15-11,

3 Towers Corporate Tower,

349 Jalan Ampang,

50450 Kuala Lumpur.

Phone: +60 3 4817 6046

Mobile: +60 10 294 6404

E-mail: mailme@bbea.com.my

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