Biodata Form For Nominee (Page 2 of 2) in pdf

Biodata Form For Nominee Page 2

Form II

5(i) List Relevant Professional Association/Industry/Community Service and Position

Held

Position(s) Held

Date (s)

Professional Association/

Industry/Community Service(s)

(ii) Clearly describe areas of particular national or international leadership or prominence in

your background

(iii) Please state briefly your general qualifications that will allow you to contribute to the

mission of the Chapter and the Association

Media Experience and Published Works

Please list current and/or past media experience and books/magazine, articles/papers

authored

Disclosure of Complaints Current and Past

Are you, or have your ever been, under notice for any complaints by clients or any regulatory

agency which have led or may lead to legal, bankruptcy proceedings or disciplinary action?

Currently

Have been

If you are currently under notice or you have been in the past, please briefly explain:

The above information is true and complete to the best of my knowledge.

___________________________

_____________________

Signature

Date

Return the completed form to:

For Office Use

Financial Planning Association of Malaysia

Status:

Unit 305 Block A Pusat Dagangan Phileo Damansara I

Reviewed by:

Jalan 16/11, Off Jalan Damansara

Date:

46350 Petaling Jaya, Selangor

Note: Nominees are required to send in a typewritten biodata using the format shown above.

Please expand and use extra sheets where necessary.

Biodata Form For Nominee Page 2