I request authorization for the Professional Trial version of Karl Albrecht International's Mindex Profile (on-line version). I understand that acceptance of my request is contingent on a review of my professional qualifications (as provided below or otherwise supplied), and that enrollment may be refused to applicants who are judged unsuitable.
If accepted, my credit card will be charged USD $50.00. I will receive a confirmation and my temporary ID Code and Password by email. I understand that, once I access the Mindex Online Profile my fee is not refundable.
I understand that the fee for access to this trial version is applicable to the full certification fee if I decide to enroll as a Certified User within 30 days.
(*) In One Paragraph (1000 characters),please summarize your professional qualifications here(current occupation, organization, credentials, experience, business operation, etc.):
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