COIL Program Pre-Registration

*
1.
Name
*
2.
Gender
Male
Female
*
3.
Language Preference 
English
Chinese
Japanese
Korean
*
4.
Education Level
Doctor
Master
Bachelor
Others
*
5.
Position
Founder
Shareholder
CEO
C-LEVEL Executives
Others
*
6.
Company Type
Listed Company
Foreign Company
Group co., LTD
Fund Company
Unicorn
*
7.
Last Year Revenue Range (USD Equivalent)
Less than one million
One million-five million
Five million-ten million
More than ten million
*
8.
Are you interested in being our Capstone Corporate Partner?
Yes
No
*
9.
Contact Number
*
10.
Email Address
11.
Further inquiry may include
*
12.
Do you need one on one remote consulting?
Yes
preferred time
No
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