学校及所在地

首席营销官课程申请表此表所填写的所有信息仅为招生委员会使用，绝不外泄。

（请填写清楚）个人信息请打✓：☐先生☐女士姓名（中文）：姓名（拼音）：英文名（如有）：出生日期：（年/月/日）移动电话：最高学历：职位：主管员工人数：国籍：母语：公司信息公司名称：公司英文名：公司地址：邮政编码：省市：电话：传真：电子邮件：年销售额（人民币或美元）：总公司所在国家：总公司名称：公司性质：☐国有企业☐民营/私营企业☐外商独资企业☐中外合资企业☐政府机构您是通过何种途径得到本课程信息的？☐广告，请注明期刊名称及发行日期：☐收到中欧邮寄的课程资料☐收到有关课程内容的电子邮件☐收到有关课程内容的传真☐参加中欧管理论坛，请注明时间：地点：☐由中欧客户经理推荐和介绍☐由同事或朋友推荐☐浏览中欧网页（）☐其他：公司所属行业☐航空技术/航空设备☐政府机关☐医药/保健☐汽车☐医院/医院投资管理☐电力/电力设备☐商业咨询/商业服务☐宾馆/酒店/度假村☐房地产/基础建设☐化工☐信息技术/高科技☐零售/批发/贸易☐消费品☐工业制造☐电信☐电器产品☐建材/矿产☐纺织/服饰/皮具☐电子产品☐媒体/文化☐运输/物流☐金融服务/保险☐石油/天然气☐多元化集团☐食品/饮料☐造纸/印刷/包装☐其他，请注明：简答题（请用正楷书写，如内容较多可另附纸。

）13、请列出贵企业目前所面临的挑战。

贵公司负责培训的人员请打✓：☐ 先生 ☐ 女士姓名： 职位：公司地址： 邮政编码： 省市： 电话： 传真：电子邮件： 申请者签名：日期：注意学费应在开课前15日前全部缴清。

开课前15日内要求撤销报名， 或指定学员未能上课，我们将收取学费的20%作为手续费。

请将此表寄至或传真至：上海市浦东红枫路699号邮编：201206 中欧国际工商学院 高层经理培训部客户服务小组电话：+86 21 2890 5187 / 5197 传真：+86 21 2890 5183 电子邮件：exed@ 北京市海淀区东北旺西路8号中关村软件园20号楼 邮编：100193中欧国际工商学院北京校园 客户服务小组电话：+86 10 8296 6688 传真：+86 10 8296 6789 电子邮件：exed@深圳市福田中心区益田路6003号 荣超商务中心A 座8层 邮编：518026中欧国际工商学院深圳代表处 客户服务小组电话：+86 755 3337 8136 传真：+86 755 3337 8133 电子邮件：exed@或或Please fill in with a check mark ✓: ☐Mr.☐Ms.Name (Chinese): Name (Pinyin): Name in English (if any): Date of Birth: (y/m/d)Mobile:Highest Education: Job Title: No. of Employees you supervise: Nationality:Native Language:Personal InformationCompany InformationCompany Name (Chinese): Company Name (English):Company Address: Zip Code:Province/City: Business Telephone: Fax:E-mail:Annual Sales (in ￥ or $):Origin of Parent Company:Parent Company Name:Nature ofState-ownedPrivately-run/ Non-stateWholly-owned ForeignSino-foreignHow did you hear about the programme? ☐ Advertisement, please specify name of publication and issue date:☐ Course information package received by mail ☐ Course information received by e-mail ☐ Course information received by fax☐ CEIBS Executive Forum, please specify date:City: ☐ Recommended by CEIBS Account Manager ☐ Recommended by colleague or friend ☐CEIBS website ()All information in this form will be treated as confidential and will only be used by the Admission Committee. (Please type or print legibly.)CMO Application FormWhich industry are you ☐ Aerospace/Aerospace Equipment ☐ Government☐ Pharmaceutical/Health Care ☐Automotive☐Hospital/Hospital Investment☐Power/Power Equipment☐ Business Consulting/Business Service ☐ Hotel/Resort ☐ Real Estate/Infrastructure ☐ Chemicals ☐ IT/Hi-Tech ☐ Retailing/Wholesaling/Trading ☐ Consumer Product ☐ Manufacturing☐ Telecommunications ☐ Electrical ☐ Construction Material/Mineral ☐ Textile/Garment/Leather ☐ Electronics☐ Media/Culture ☐ Transportation/Logistics ☐Financial Service/Insurance ☐ Petroleum/Oil/Gas ☐ Conglomerate ☐ Food/Beverage☐Paper/Printing/Packaging☐Other, pleasespecify:Answer the questions briefly (Please print legibly, and use an appendix printed if there is not enough space in the application form)3. What are the most formidable challenges facing your organisation and/or business unit?Person in charge of executive/management development for your companyPlease fill in with acheck mark ✓:☐Mr. ☐Ms.Name: Job Title:Company Address:Zip Code: Province/City:Business Telephone: Fax:E-mail:Signature of Applicant: Date:NoteThe full fee must be paid no later than 15 days before the start of the programme. If a confirmed booking is cancelled within 15 days of the start of the programme, or if the applicant fails to attend the programme, a cancellation fee equaling to 20 percent of the total programme fee will be charged.Please return by fax/mail/e-mail to:China Europe International Business School699 Hongfeng Road, Pudong, Shanghai, P.R.CZip Code: 201206Executive EducationCustomer Service TeamTel: +86 21 2890 5187 / 5197 Fax: +86 21 2890 5183Email: exed@CEIBS Beijing RepresentativeOfficeNo.20, ZhongguancunSoftware Park,No.8, Dongbeiwang WestRoad,Haidian District,Beijing,100193 P.R.C.Customer Service TeamTel: +86 10 8296 6688Fax: +86 10 8296 6789Email: exed@CEIBS Shenzhen RepresentativeOffice8F, RongChao Business CentreBlock A, 6003 Yitian Road, FutianDistrict, Shenzhen, 518026, P.R.C.Zip Code: 518026Customer Service TeamTel: +86 755 3337 8136Fax: +86 755 3337 8133Email: exed@oror。