Application Form

Application Form

Dear Potential Ambassador,

We know you are excited to know more about the Asia Pacific Wine and Spirit Institute and be a part of this global family. The next important step in the process of joining APWASI is this short application that will be needed to be completed by you. Once you have completed the application form, we will assess the information and respond back to you within 48 hours. We are looking forward to be working with you together in the APWASI family.

Warm regards,
Ambassador Program Executive

Please complete the form

* = mandatory question

Name
First Name*
Middle Name
Last Name*
Address
Street Address*
Postal / Zip Code
Country*
Province / State*
City*
Contact Details
Email*
Mobile Phone*
Home Phone
Company Details (where applicable)
Company Name*
Company Street Address*
Company Postal / Zip Code
Company Country*
Company Province / State*
Company City*
How many years has this business been in existence?*
How many years have you had this business?*
How many years have you been located at this address?*
Are you the main director and authorised representative?*
YesNo
Do you own more than 51% shares in the company?*
YesNo
Business References (maximum 3 – please note we will contact the people you list here)
Business Name #1*
Business City*
Business Country*
Business Email*
Business Phone*
Staff & Office Details
Do you have a presentation room?*
YesNo
Do you have audio and video equipment for presenting to students?*
YesNo
Other special features – please list:
How many staff do you intend to train for the APWASI programs?
Optional Message