The Zi Board
Your name
Your email
Your Number
Name:
Company Name:
Date of Birth:
Mobile:
Email:
Work Address:
Type of Business Activity:
Full Job Title:
Total Years of Experience:
Number of Years as a Director:
Annual Turnover (INR):
Number of Employees:
GST No.:
Q1. What is the new Avatar you want to build of yourself 12 months from now?
Q2. What are your top 3 challenges, both in personal and professional areas?
Q3. What is your purpose to join this elite round-table The Zi Board?
I agree that the information I have supplied in this application may be held by The Zi Board committee members and Build Booming Mindset until such time as my application has been approved or declined.
I have read, understood and agree to the terms and conditions of The Zi Board Membership.
Date:
