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Panel Discussion Registration Form

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EVENT DETAILS


Topic: Working Different: What Late Diagnosis Doesn't Tell You

Four neurodivergent adults on burnout, masking, and building a work life that actually fits.


Moderator: Dhinesha Karthigesu, co founder NeuroDiver

Panelists:

- Catherine Chan — ADHD Advocate & Parenting Practitioner.

- Khairul Mohd Syazwan — Neurodiversity Advocate & Trainer

- Shaleen Chrisanne — Clinical Psychologist

📅 24th July 2026 (FRIDAY)

🕔 2:30pm - 3:30pm

📍 Petrosains, KLCC 💰 RM5 /person as commitment fee

(*This invitation is not inclusive of admission to the Petrosains Discovery Centre.)

SECTION 1 — REGISTRATION DETAILS

1. Name

2. Email Address

3. Phone Number

4. Organization / Company

5. How did you hear about this event?

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B
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D
E

SECTION 2 — ATTENDANCE PREFERENCES

6. Are you attending as an individual or on behalf of an organization?

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B
C
D

7. Do you identify as neurodivergent or support someone who does? (optional, self-disclosure)

A
B
C

SECTION 3 — WRAP-UP

8. Questions you would like the speakers to address

Consent to be contacted about future NeuroDiver events

Payment Details: NeuroDiver PLT 202604001004 (LLP0046235-LGN) Maybank 564940007495 hello@neurodiver.co ( for inquiry )
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Scan to pay RM5.00 via DuitNow. Please upload your payment receipt and below to confirm your spot