MANAGEMENT DEVELOPMENT AND PRODUCTIVITY INSTITUTE

NOMINATION FORM

Name of Course:………………………………………………………………………………………………….

Date of Course:……………………………………………………………………………………………………

(Opening and Closing Dates)

Full Name in CAPITALS (NO INITIALS):………………………………………………………………….

Social Security No:……………………………………………………………………………………………….

EDUCATION

Highest Educational Qualification:………………………………………………………………………….

Institution where qualification obtained:………………………………………………………………..

…………………………………………………………………………………………………………………………..

Date qualification Awarded:…………………………………………………………………………………..

EMPLOYMENT

Position:……………………………………………………. Date Employed:………………………………..

Duties:………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………..

ORGANISATION

Name of Organisation:………………………………………………………………………………………….

Address of Organisation:……………………………………………………………………………………….

Telephone No:………………………………………….. No. of Employees:…………………………….

Nature of Business (Please check appropriate box)

{ } Agriculture { } Manufacturing { } Trading

{ } Civil Service { } Public Boards & Corporations { } Others (Specify)

Ownership of Organisation (Please check appropriate box)

{ } Sole { } Partnership { } Private (P.L.C.)

{ } Public (P.L.C.) { } State { } Joint (State/Private)

FEES: Fees Enclosed

Cheque No:……………………………………

Money Order No:……………………………

Postal Order No:…………………………….

Dollar ($):………………………………………

NOTE:

FEES:

The Fees include Tuition, Snacks, Documentation and field Visits

The Fees for each course is stated in the write-up for the course. Full Payment of Fees should accompany completed Nomination Forms or must be paid on the day of course opening.

WITHDRAWALS

If a sponsoring organization finds it necessary to withdraw a candidate, ONE MONTH prior to the opening date, the fee will be returned less 30% (percent) for administrative charges. Withdrawals on or after the opening date of a course are subject to the total FORFEITURE of fees.

REPORTS ON PARTICIPANTS

Reports will only be provided on nominees if requested in advance and the participant is aware that an appraisal is being made on him/her. However, unjustifiably absenteeism from sessions by participants will be reported to the nominating companies at the end of the course.

In extreme cases of unreasonable absenteeism, the nominees will be asked to leave the course and his/her company will be notified. No fee will be refunded in such cases.

PPROVING AUTHORITY

Name of Officer Nominating:………………………………………………………………………………………….. Position:………………………………………………………………………………………………………………………..

Signature:……………………………………………….. Date:………………………………………………………….

Please return this FORM together with remittance:

THE DIRECTOR

MANAGEMENT DEVELOPMENT AND PRODUCTIVITY INSTITUTE

POST OFFICE BOX GP 297

ACCRA-GHANA