UAE Innovation Award Assessor Registration Form

UAE Innovation Award 2018 Assessor Application

(UAE based assessors only) Please complete the registration form below
Full Name *

Prefix First Name Last Name
Gender *
Qualification *
Graduated In
Mobile Number *

- Country Code - Area Code Phone Number
WhatsApp # *

- Country Code - Area Code Phone Number
Work E-mail *
Personal E-mail *
Nationality *
City of Residence *
Age Group *
Total Years of Work Experience *
Professional Certifications *
Areas of Expertise (Most relevant capabilities may choose more than one area) *

Awards & Assessment Business Excellence Innovation Management Knowledge Management Performance Auditing Strategy & BSC HR & Talent Management Training Design & Delivery Customer Service Excellence Financial Mgt & Auditing Governance IT & SMART Solutions CSR Assessment
Professional Assessment Experience *
# of Internal Assessment completed *
# of External Award Assessment completed *
External Awards Participated *

SKEA DQA UAE Innovation Award DHDA MRM Business Award DGEP SKGEP Hamdan Bin Mohammad Smart Government Award SSPGE AJEP Taqdeer Award
External Awards Team Leader
# of years as External Award Assessment Team Leader *
Have you attended UAE Innovation Award Assessor Training previously?

Yes No
Have you participated in UAE Innovation Award 2017 Assessment?

Yes No
Innovation Hands-on Experience (May choose more than one area) *

Innovation Assessment Innovation Training Innovation Consulting Internal Innovation Projects External Innovation Projects Innovation Books & Publications Innovation Systems & Tools Innovation IT Solutions Innovation Award & Framework Innovation Lab Design & Mgt No Innovation Experience
Professional Assessment Language *
Professional Report Writing Language *
Employment Status *
Current Employer *
Job Title *
Industry *
LinkedIn Profile Link *
Professional Profile/ CV *

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Cancel of
Professional Photo *

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Cancel of
Planned Annual Leave during the next 12 months *
Business Travel planned during the next 12 months *
Would your company be interested to participate in the UAE Innovation Award this year?

Yes No Maybe
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UAE Innovation Award 2018 Assessor Application

Thank you, we will contact you shortly