BORANG PENDAFTARAN / REGISTRATION FORM
Email *
COURSE / CODE & TITLE : *
Course Location *
DATE OF THE COURSE (START) : *
MM
/
DD
/
YYYY
DATE OF THE COURSE (END) : *
MM
/
DD
/
YYYY
NAMA (as in I.C. / Passport) : *
(to be printed on certificate)
I.C. / PASSPORT NO. : *
DESIGNATION : *
HAND PHONE NUMBER PARTICIPANT : *
E-MAIL PARTICIPANT : *
MEAL RESTRICTION (SPECIAL DIET) : *
(IF YES, PLEASE STATE)
NAMA of COMPANY : *
ADDRESS of COMPANY
*
APPROVING MANAGER NAME: *
DESIGNATION : *
TELEPHONE : *
FAX : *
E-MAIL HR / PIC : *
DATE ; *
MM
/
DD
/
YYYY
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