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Public-Private Management Exchange Programme
Expression of Interest Form
Please carefully complete this form.
Personal Information
First Name:
Last Name:
Phone Number (with region code):
Email:
Job position:
State/Region:
Country:
When would your organisation like to participate in the PRIME programme?
Select one...
2019
2020
What technical expertise does you organisation have?
Select one...
IT
Human Resource Management
Financial Management
Supply Chain
Other
If other, please state
Is the leadership of the organisation aware of this application?
Select one...
Yes
No
Primary contact person is the same as above
If not,
Primary contact first name:
Primary contact last name:
Primary contact phone number (with region code):
Primary contact email:
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