Register As Individuals – Asia Coaching Network

Attention Individuals Seeking Services

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Name: (Mr./Ms./Dr.):*

Name: (Mr./Ms./Dr.):

Highest Qualification*

Highest Qualification

Location including Country:*

Location including Country:

Time zone:*

Time zone:

Present Occupation*

Employee

Gig worker

Entrepreneur

Home maker

Student

Out of work

No of years of work experience if any:*

No of years of work experience if any:

Are you looking for a mentor, and not a coach?……*

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(Please refer FAQs on our website)

Have you had a coach/mentor/counselor earlier? If yes, please give details………*

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Is there any challenge with your physical or mental health: Yes/No. If yes, what?*

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What is the specific challenge you are facing that motivated you to seek coaching/mentoring?*

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What kind of coach you are looking for:*

Which Asian language is your first preference language for communication?*

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Your coordinates

Phone no*

Phone no

Whataspp no, if different:*

Whataspp no, if different:

Email:*

Your best time to be contacted: *

Your best time to be contacted:

Your form has been submitted

Thank you so much for registering on our website for membership. We are in the process of finalizing terms and conditions of different types of membership and shall revert to you shortly. Meanwhile, you may also like to articulate your expectations from ACN…

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