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*
    [country_auto* country id:country]

    Province / State*
    [state_auto* province-state id:province-state]

    City*
    [city_auto city id: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