OSH-C REGISTRATION FORM (MARCH 2023)
Title: Occupational Safety and Health Coordinator(OSH-C)
Date: 7th, 8th and 9th March 2023 ( Tue, Wed, Thurs).
Duration: 3 Days
Time: 9.00am - 5.30 pm 
Venue: AJ Safety Training Centre, Ipoh, Perak DR
Mode: F2F
Training Provider: AJ Safety Training and Consultancy PLT
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Email *
Type of Registration *
POSHE Member (Registration No.), if any
Contact Person *
Phone Number *
Email Address *
Company Name and Address
No. of Participant *
Name of Participant and IC No. *
State *
Bank Payment Details
Payment via TnG eWallet Link: https://payment.tngdigital.com.my/sc/bDLnu5UhMz  

Bank Name: Affin Bank Berhad
Account No.: 100321127821
Account Name: AJ Safety Training and Consultancy PLT
Swift Code: PHBMMYKL
Have you made the payment(for non-hrd Corp claim) ? *
The payment receipt need to be send through WhatsApp to Ms Fazilah (016-4736230) at least 7 days before the training date.
*
A copy of your responses will be emailed to the address you provided.
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