TRAINING PROGRAMME / CONSULTANCY SERVICE ENQUIRY FORM

* I am interested on the following training programme/consultancy services and would like to have more information:

Young Entrepreneur Programme (YEP)

Graduate Entrepreneurs Incubation Programme (PIUS)
Intel Easy Steps IT Literacy for Business Users
ProBiz Your Business, Your Life Programme for SME Development Scheme
Other training programme /consultancy service. Please specify:

Name :

Mailing address:

Mobile phone: IC No:

Age: *Gender: Male Female

Highest academic qualification:

Name of Academy Institution:

Email:

Occupation: Employer:

* Employment status: Permanent Contract Others. Please specify:

Industry involved/ Interested industry / Business idea:

*Business status: Business owner Non-business owner

If you are business owner, please fill up the details below:

Name of company:
Type of industry:
*Category:
Sector
Size Manufacturing (including agro-based) & manufacturing Services (including ICT)
related services
*Micro Annual sales turnover : < RM250,000 OR Annual sales turnover : < RM200,000 OR
No. of workers : < 5 full-time employees No. of workers : < 5 full-time employees

*Small Annual sales turnover : From RM250,000 - RM10 million OR Annual sales turnover : From RM200,000-RM1 million OR
No. of workers : 5 - 50 full-time employees No. of workers : 5 - 19 full-time employees

*Medium Annual sales turnover : From RM10 million-RM25million OR Annual sales turnover : From RM1 million - RM5 million OR
No. of workers : 51 - 150 full-time employees No. of workers : 20 - 50 full-time employees

*Large Annual sales turnover : < RM 150 million OR Annual sales turnover : < RM 100 million OR
No. of workers : < 300 full-time employees No. of workers : < 100 full-time employees

*Are you a customer of SME Bank: Yes. Yes. If yes, please state no. of year(s):
No
*Please tick () on the appropriate box:
ACKNOWLEDGEMENT

I, (Name ; NRIC No: ) do hereby voluntary give

express consent to CEDAR and/or its affiliates to use my personal data to receive information, marketing materials and publications of CEDAR /
SME Bank from time to time.
IF-May 2013

(Signature) (Date)
Please complete the form and send to:

Centre for Entrepreneur Development and Research A wholly owned subsidiary of

Level 21, Menara SME Bank
Jalan Sultan Ismail, PO Box 12352, 50774 Kuala Lumpur, Malaysia
www.smebank.com.my
Nik Ahmad: +603 2615 2970 / ahmad.muariff@smebank.com.my
Mohd Faris: +603 2615 2967 / mohd.faris@smebank.com.my
: +603 2692 5916