SCHOOL OF EXECUTIVE EDUCATION

PROGRAM REGISTRATION FORM

PROGRAM INFORMATION

Program Name:

How did you learn about this program?

What are your objectives in attending the

Program?

What are your expectations upon completion

of the Program?

Have you attended any AIM Program/s in the

past? If yes, which program/s?

PERSONAL DATA

Full Name:
First Name Middle Name Last Name

Nickname: Birthdate: Sex: Male Female

Name to appear on nameplate mm/dd/yyyy

Email: Contact Number:

Country Code - Area Code - Number

Citizenship:

Dietary Preference: None Halal Low Sodium

Vegan Vegetarian Low Sugar Others (please specify): _________________

Food Allergies:

EDUCATIONAL BACKGROUND

Highest Degree Attained: Post-graduate Undergrad Others (please specify): _________________

Degree/Program Title: Date Completed:

Highest level of education completed mm/yyyy

Complete School Name:

PROFESSIONAL BACKGROUND

Total Work Experience: Years Months

Current Job Title:

Employer/Company:

Employer/ Company
Address: Building, Number, Street, Village

City State/Region Country

Industry:

execed@aim.edu +63 2 892 4011 123 Paseo de Roxas, Makati City 1260, Philippines
BILLING INFORMATION

Person in Charge of
Training:
First Name Middle Name Last Name
Position:

Email: Contact Number:

Country Code - Area Code - Number

Person to Address
Statement of Account:
First Name Middle Name Last Name
Position:

Email: Contact Number:

Country Code - Area Code - Number

Billing Address:
Building, Number, Street, Village

City State/Region Country

TERMS AND CONDITIONS

1. A non-refundable deposit equivalent to 10% of the program fee is required to reserve a slot in the program. This deposit must be paid within
five (5) working days after submission of the accomplished Registration Form.
2. An early-bird discount of 5% may be availed if full payment of program fee is made at least 15 working days before program start date.
3. Full payment of program fee is required five (5) working days before program start date.
4. Cancellations made by fully-paid participants will be honored only through a written letter of request addressed to:
Office of the School Head
School of Executive Education, Asian Institute of Management
Email: execed@aim.edu
Refund scheme is as follows:
• 100% refund, exclusive of the deposit, for cancellations made at least 15 working days before program start date.
• 75% refund, exclusive of the deposit, for cancellations made at least 10 working days before program start date.
• 50% refund, exclusive of the deposit, for cancellations made at least five (5) working days before program start date.
• No refunds for cancellations made less than five (5) working days before program start date.
5. No refunds shall be made for no show participants.
6. AIM reserves the right to postpone or cancel any of its programs. AIM will not be held liable for any direct or indirect losses incurred by
participants such as, but not limited to, travel arrangements made prior to the program’s cancellation or postponement. Final confirmation of the
program will be announced no later than ten (10) working days before program start date. Refund of program fees, or possible enrollment in
other AIM Executive Education programs may be arranged.
7. Program certificates will only be awarded to fully-paid participants who have completed the program requirements.

AGREEMENT

I hereby certify that the information I have provided in this Registration Form is complete and correct to the best of my
knowledge.
I acknowledge that I have read, understood, and accepted the Terms and Conditions stated herein.
I authorize AIM to use my persoanl data to process this registration and for related activities specific to this program.

Signature over Printed Name Date

PRIVACY NOTICE
We value your privacy and we uphold your rights under the Data Privacy Act of 2012. By voluntarily submitting this form, you are hereby
allowing AIM to collect, use, process, consolidate, share, store, and retain your personal data. The information collected from this form will be
recorded in a database accessed only by authorized AIM personnel. AIM will use your personal data to process this form along with related
activities. For any inquiries, feedback, and/or complaints regarding the processing of your personal data, please contact AIM’s Data Protection
Officer through the following:
Email: dpo@aim.edu
Phone: +632-892-4011 local 2882
Address: Asian Institute of Management, Eugenio Lopez Foundation Building, 123 Paseo de Roxas, Makati City, Philippines
1229
For more details, please read the AIM Privacy Policy: https://aim.edu/privacy-notice.

execed@aim.edu +63 2 892 4011 123 Paseo de Roxas, Makati City 1260, Philippines
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