Nomination Form-HBS Executive program 2025

Harvard Business School Executive Program
Program Title: HEDP 2024/2025: Strategic Leadership in the Age of Financial Sustainability

Nomination Application Form
Date: April 12 - 17, 2025

Timing: 08:00 a.m. - 05:00 p.m.

Language: English

Important: Kindly ensure to complete all the information requested, without any abbreviations
Personal Information
Name in English *
Please write your full name to be printed on the certificate
Name in Arabic*
Please write your full name to be printed on the certificate
Civil ID Number*
Enter Your 12 Digits Civil Id Number
Date Of Birth*

DayMonthYear
Date
Nationality*
Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
Car Plate Number*
Gender*

MaleFemale
Marital Status*

SingleMarried
Job Information
Current Job Title*
Division*
Organization Name*
Organization Telephone*
Please enter a valid phone number.
Date of Joining*

DayMonthYear
Date
Date of Taking up current role*

DayMonthYear
Date
Chief Executive Officer Name*
Chief Executive Officer Number*
Please enter a valid phone number.
No. of people reporting to you*
Name of Head of HR & Admin. Dept.*
Head of HR & Administrations Email*
example@example.com
Education

Include at least one in the below form *

	Institution	Major	Period	Qualification
1
2
3
4

Please list any programs you have attended at Harvard Business School

	Program Name	Date	Location
*
*
*

Background Information
Brief description of your organization and/or business unit *
Enter your text
Describe your current responsibilities, indicating the nature of your involvement in planning and implementing strategy in your organization*
Enter your text
Please explain your objectives and goals as they relate to attending this program. Also describe what you think other program participants may learn from you (i.e. perspective, skills, and expertise)*
Enter your text
What are the most formidable challenges facing your organization and/or business unit? *
Enter your text
Required Documents

Kindly upload a copy of the following required attachments
Copy of the civil ID*

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
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Copy of your passport*

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
Cancelof
Recent personal photo*

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
Cancelof
Your current CV*

Files Allowed : docx, doc, pdf, jpg, jpeg, png, gif ( Maximum 5mb)
Cancelof
Car Registration Number (required for access to KIBS/CBK premises)*

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
Cancelof
Cancelation and Refund policy
Registration fees and program cost must be paid in full at least 10 days prior to the program start date and are non-refundable except in the following cases:
- When withdrawal is made more than 7 working days prior to the program start date, or in case that KIBS cancels: 100% of fees/cost will be refunded
- When withdrawal is made 6 working days or less before the program start date: 50% of fees/cost will be refunded.
- No refunds will be given on and after the start date of the program.
Accuracy of Information Provided
The undersigned certifies that all information provided in this nomination form is accurate and complete. The nominee understands that any false or misleading information may result in disqualification from the program.
Commitment to Program Training Requirements
The nominee acknowledges their commitment to fulfilling all training requirements associated with the program, including attendance, participation, and completion of any assessments or tasks. The nominee agrees to adhere to the program's schedule and policies.
Signatures
Nominee Name*
Acknowledgement Signature Date of Nominee *

DayMonthYear
Date
Signature of Nominee *

Clear
Please check the box to confirm that you have read, understood, and agreed to the terms mentioned above, including the payment conditions, accuracy of provided information, and commitment to the program's training requirements.
Acknowledgement*

I acknowledge and consent to the terms and conditions outlined above. I grant permission to the Kuwait Institute of Banking Studies and its affiliates to capture and utilize video recordings, audio recordings, and photographs of me for promotional purposes. I am aware and agree that the Institute may use these materials in ways it finds suitable to support its objectives. I release the Institute from any liability related to this usage and agree not to pursue any claims against the Institute or its partners concerning this promotional content.
After submitting the application it will be sent to the Head of HR and Administrations Dept., as the application will not be finally submitted until the Head of HR and Administrations Dept. signed it
Should be Empty:

Harvard Business School Executive Program

Program Title: HEDP 2024/2025: Strategic Leadership in the Age of Financial Sustainability

Personal Information

Job Information

Education

Background Information

Required Documents

Cancelation and Refund policy

Accuracy of Information Provided

Commitment to Program Training Requirements

Signatures