Contact Test

Name...

Name

Mobile Number

Email Address

Designation

Company’s Name

Age

Are you signing up for the Power Women Summit 2025 for yourself?

Yes. I am signing up for myself Yes, for my team and I No, I'm signing up on behalf of someone else I'm signing up under HRD Corp Claimable (No Siri Kursus 10001536832 Power Women Summit)

Marital Status

Single Married Separated/Divorced

Number of Children (if any)

How did you hear about this Summit?

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What is the one area in your mindset where you feel most stuck—and no matter how much you try to shift it, you still remain stuck?

If you could take one bold step today without fear or doubt, what would it be?

If you had the chance to ask just one powerful question that could shift your life or mindset—what would you ask our Speakers?

I acknowledge that my participation in the Power Women Summit 2025, hosted by The MIND Academy at MITEC Kuala Lumpur, can only be secured upon receipt of payment.

Yes, I will be making my payment for the Power Women Summit 2025 in order to secure a spot for me

Type of Payment

Non-HRD Claimable Summit Access + WE2025 Expo Day 1 & 3 - RM890 Non-HRD Corp Claimable Early Bird Summit Access + WE2025 Expo Day 1 & 3 + Private Networking Session - RM1,190 HRD Corp Claimable Summit Access + WE2025 Expo Day 1 & 3 + Private Networking Session - RM1,500
(30% Deposit payment is required for booking)

Please transfer payment to the following account : THE MIND ACADEMY GROUP SDN BHD CIMB 8605717562Please upload payment slip below

I will indicate my full name/company name as per this registration when uploading the payment slip I will indicate the full name/company name of the person I'm paying for when uploading the payment slip I will indicate my full name/company name as per this registration for the 30% HRD Corp Claimable Booking Deposit

Please upload payment slip into this registration form.Please indicate full name/company name as per this registration.

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Website Designed by Niche Studio

Redefine Your Power

Redefine Your
Power