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PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM) THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

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Page 1: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

Page 2: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

PIKOM CIO Chapter Executive Committee Every two (2) years, four (4) of the Executive Committee Members will be elected amongst the PCC members to form part of the Executive Committee who are tasked to meet and organise the various activities for the members with the objectives and mission statement in mind. This will ensure that there will always be some form of continuity amongst the Exco members to carry out the programs on an uninterrupted basis.

PIKOM CIO Chapter Executive Committee 2010/11

Chairman Andy Tan Employees Provident Fund Head of IT

Deputy Chairman & Professional Certification

Cheah Kok Hoong Sunway Shared Services Centre Sdn Bhd Director, Shared Services Centre

PIKOM Liaison CJ Ang PIKOM Advisor

Events Hood Abu Bakar MISC Bhd General Manager, ICT

Members Networking Chia Nam Liang Hap Seng Consolidated Bhd Chief Information Officer

Treasurer / Funding Azlan bin Rashid Affin Bank Bhd Head, IT Services Management

Publicity Ow Teik Bee 7-Eleven Malaysia Sdn Bhd Senior Manager (IT Specialist)

Membership Beh Swan Swan Magnum Information Technology Sdn Bhd General Manager

Research Kng Tuan Kah MCIS Zurich Insurance Bhd Head, Information Solutions

Page 3: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

PCC Past Events (Year 2009)

2 July 2009 PCC Movie Night (Hosted by Hewlett-Packard)

29 September 2009 Forum Series (I): Cloud Computing

30 October 2009 Forum Series (II): Java .Net

12 November 2009 Forum Series (III): WiMAX: What Is It All About & How To Take Advantage Of It? (Hosted by Packet1)

1 December 2009 Forum Series (IV): Managing Mobility in the Enterprise (Hosted by Maxis)

Page 4: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

PCC Past Events (Year 2010)

10 February 2010 CIO Cocktail & Talk: Is 2010 Your Year? (Hosted by CSC)

16 April 2010 Forum Series (I): Building Talent to Meet the Challenges in the Future (Hosted by HapSeng)

26-30 April 2010 PIKOM Project Leadership Certification (I)

9-11 May 2010 Educational Trip to EMC Regional Hub, Singpore

3-7 June 2010 Educational Trip to Shanghai World Expo 2010

17 June 2010 PIKOM CXO Charity Golf 2010

19-23 July 2010 PIKOM Project Leadership Certification (II)

23 July 2010 Forum Series (II): High-Trust Leadership: What Differentiate Leaders from Managers (Hosted by Auto Bavaria Glenmarie)

4-5 August 2010 Business Success Forum

5 August 2010 PCC 1st Exco Election

25 September 2010 PCC Cup 2010

11-15 October 2010 PIKOM Project Leadership Certification (III)

25 October 2010 Winning in the New Analytics Driven Environment (Hosted by Accenture)

4 November 2010 Forum Series (III): Social Networking Websites at the Work Place. Is This Encouraged?

10 November 2010 MITEL Breakfast Talk @ Nikko Hotel (Hosted by SnT Global)

1-4 December 2010 Educational Trip to ASOCIO ICT Summit, Taipei, Chinese Taipei

9-10 December 2010 Smart Sourcing Summit (SSS) 2010

10 December 2010 Forum Series (IV): How Do You Measure IT Performance?

Page 5: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

PCC Current / Upcoming Events (Year 2011)

17-21 January PIKOM Project Leadership Certification (IV)

March Forum Series 2011-1: What’s Next After CIO

Educational Trip to Cyberjaya (Hosted by MDeC)

Forum: Data Protection Dialogue

April Educational Trip to Japan

Forum Series 2011-2: Architecturing Business with IT

Networking Event 2011-1

11-15 April PIKOM Project Leadership Certification (V)

May Forum Series 2011-3: Internet Protocol Version 6 (IPv6)

June 2nd PCC Cup 2011 (Golf Tournament)

4-8 June PIKOM Project Leadership Certification (VI)

July Forum Series 2011-4: Life Cycle Management / Value Management

August/September 2nd PIKOM CIO Chapter Exco Election 2011/2012

September Forum Series 2011-5: Return on Investment (ROI)

October Educational Trip to Germany

Smart Sourcing Summit 2011 (Organised by Outsourcing Malaysia)

Educational Trip to Germany

November Forum Series 2011-6

Educational Trip to ASOCIO ICT Summit 2011 (Jogjakarta, Indonesia)

For more information about PCC, do email your enquiries to [email protected]

Page 6: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

SECTION A: MEMBERSHIP INVITATION

How did you know about the PIKOM CIO Chapter? (Please tick [√] where applicable)

[ ] Invited by PIKOM CIO Chapter [ ] Invited by PIKOM Councilor / Advisor

[ ] Invited by PIKOM Member [ ] Others (Please specify):

NOTE: Membership is by exclusive invitation only and subject to approval by the PIKOM CIO Chapter. Eligibility for membership: 1. IT Expenditure –Minimum RM10 million Annually (Hardware, Software and Services, HR Cost) 2. ICT Devices available– Minimum 200 end user ICT devices 3. Employee size – Minimum 1000 employees

SECTION B: MEMBER PROFILE

Name of Applicant (Full Name) Mr./Ms./Others:

Designation of Applicant:

Mobile Number: Email Add:

PA / Secretary (If any): Email Add:

Organisation Name:

Organisation Registration Number: Total Number of Employees:

Date of Incorporation / Registration (dd/mm/yy):

Place of Incorporation / Registration:

Business Address:

Postcode: City or State:

Direct Tel (Office): Direct Fax (Office):

SECTION C: IT BUDGET IN FISCAL YEAR: _____

[ ] RM10,000,000 – RM15,000,000 [ ] RM20,000,000 – RM30,000,000

[ ] RM15,000,000 – RM20,000,000 [ ] Above RM30,000,000. Please specify:

SECTION D: END USER ICT DEVICES

[ ] 200 devices [ ] 250 – 300 devices

[ ] 200 – 250 devices [ ] Above 300 devices. Please specify:

List ICT Devices used:

Page 7: PIKOM CIO CHAPTER (PCC) · pikom cio chapter (pcc) individual membership application (a chapter initiated by pikom) the national ict association of malaysia 1106 & 1107, block b,

PIKOM CIO CHAPTER (PCC) INDIVIDUAL MEMBERSHIP APPLICATION (A CHAPTER INITIATED BY PIKOM)

THE NATIONAL ICT ASSOCIATION OF MALAYSIA 1106 & 1107, BLOCK B, PHILEO DAMANSARA II, NO.15, JALAN 16/11 46350 PETALING JAYA, SELANGOR DARUL EHSAN, MALAYSIA TEL : (603) 7955 2922 l FAX : (603) 7955 2933 l [email protected] l www.pikom.my

SECTION E: INDUSTRY SERVED (Please tick [√] where applicable)

[ ] Agriculture [ ] Hospitality, Travel & Tourism

[ ] Banking, Finance & Insurance [ ] Manufacturing

[ ] Construction & Real Estate [ ] Media & Entertainment

[ ] Consumers [ ] Oil & Gas

[ ] Defense [ ] Retail/Wholesale

[ ] Education [ ] Telco/ISP

[ ] Government [ ] Transportation (Logistics & Warehousing)

[ ] Healthcare [ ] Utilities

[ ] Others. Please specify:

SECTION F: DECLARATION

I, hereby, apply to be a member of the PIKOM CIO Chapter and understand that this application does not automatically admit me as a member of PIKOM (Persatuan Industry Komputer dan Multimedia Malaysia).

Signature Company Stamp & Date

Admission for membership is at the sole discretion of the PIKOM CIO Chapter whose decision is final.

For PIKOM CIO Chapter office use only

Application Form [ ] Complete [ ] Incomplete:

Received by Date:

Admission Date

Approved by PCC Exco Date:

Remarks

Please complete and return this form together with your business card to:-

PIKOM CIO CHAPTER THE NATIONAL ICT ASSOCIATION OF MALAYSIA (PIKOM) 1107, Block B, Phileo Damansara II, No 15, Jalan 16/11 46350 Petaling Jaya, Selangor Darul Ehsan, Malaysia T +603.7955.2922 F +6.03.7955.2933 E [email protected]

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