EMERGENCY RESPONSE TRAINING ON PUBLIC HEALTH EMERGENCIES OF COVID-19 TO UNIVERSITY EMERGENCY RESPONSE TEAM (ERT) MEMBERS
OCCUPATIONAL SAFETY AND HEALTH MANAGEMENT OFFICE, UNIVERSITI PUTRA MALAYSIA
18 September 2020
Sign in to Google to save your progress. Learn more
IMPORTANT NOTICE
If you are unwell on the event date, PLEASE DO NOT ATTEND THE WORKSHOP AND INFORM THE NCO STAFF. Please ensure that you strictly adhere to the SOPs under the Recovery Movement Control Order (RMCO)

REGISTRATION DEADLINE
14 September 2020
Title *
First Name/Given Names *
Last/Family Name *
Email Address *
Gender *
Organization/University *
Designation / Job Title *
Type of Participant *
Age
Discipline/Field of Expertise *
Role in this activity *
Country of Residence *
IC Number / Passport Number *
Organization Mailing Address *
Telephone No. *
Mobile Phone No.
I hereby confirm that all the information given above are correct *
Required
IMPORTANT NOTES
1) Please inform us of any cancellation in participating in the meeting before 15 September.

2) Please ensure that you strictly adhere to the SOPs under the Recovery Movement Control Order (RMCO). If you are unwell on the event date, PLEASE DO NOT ATTEND THE WORKSHOP AND INFORM THE NCO STAFF IMMEDIATELY.

We look forward to your favourable reply and participation. If you have any questions regarding this form or the event please contact us at the National Coordinating Office (Tel: 03-9769 3477 / 3478, Fax: 603- 9769 1971 / 1972).

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms