JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
A short course on Understanding on the Performance of Incineration Process and Its Emission Control
12 CPD HOURS
Venue: The Royal Widad Residence @ UTM KL
Date: 24 - 25 Jun 2019
Time: 8.30 am - 5.00 pm
Speaker: M. Rashid, PhD
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Email
*
Your answer
Organization/Company
*
Your answer
Company Address
*
Your answer
Designation
*
Your answer
Telephone No.
*
Your answer
Registration Fee RM 1,500.00 (Payable to AMR Environmental Sdn. Bhd - Maybank Islamic Berhad. Account No. 5-51306-70552-0. PAYMENT SHALL BE MADE BEFORE 17th June 2019. Method of payment:
*
Cross Cheque
Online Banking/Fund Transfer
Payment via Cross-Cheque/Online Banking has/will be submitted on (Please select a date)
MM
/
DD
/
YYYY
Kindly email your copy of payment slip to
training@amr.com.my
. Receipt and Certificate of Attendance will be given during the course event.
Dietary restrictions
*
None
Vegetarian
Other:
I acknowledge that all information filled is correct and no refund of payment if cancellation of entries is made. (Replacement of participant is permitted and shall notify the secretariat)
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms