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ASTRICE - Pre-Registration Form
To confirm your registration, please kindly complete this form. Thank you.
To request for more than one course, please fill in another Registration Form.
Contact us at (+60)3-89967514 or email to noorzn@pop.iwk.com.my
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Please state your preferred course / Which course do you want to register? e.g. AE/SP, Safety Passport (You can refer to the list of programs
here
)
*
Your answer
Company Person In Charge (PIC) Name
*
Your answer
Contact Number (PIC)
*
Your answer
Organization / Company Name
*
Your answer
Organization / Company Complete Address
*
Your answer
Preferred method of session
*
Physical classroom
Online classroom (Only for Safety Passport)
Other:
Required
Dietary restrictions
*
None
Vegetarian
Other:
Required
I understand that I will have to pay the course fee before the session.
*
Yes
Required
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