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BORANG PENDAFTARAN MXR / REGISTRATION FORM MXR
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Email
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Code / Course & Title
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MXR100 (Good Handling Practice in Medical X-ray)
MXR101 (Radiation Safety Awareness for Medical Staff)
MXR102 (Handling and Care of X-ray and Related Equipment)
MXR105 (Awareness Course on Radiation Protection in Radiotherapy)
MXR200 (Awareness Course On Radiological Safety In Medical X-ray)
MXR201 (Training Course on X-ray for General Practitioner)
MXR202 (Radiation Protection in Medical X-ray Equipment and Related Facilities)
MXR203 (Trauma and Emergency Radiography)
MXR204 (Medical Radiography Technique)
MXR205 (Quality Control in Maintaining X-ray Equipment)
MXR300 (Basic Course on Ultrasonography in Medical)
MXR301 (Good Operational Practice in Medical X-ray)
MXR302 (Quality Assurance in Medical Radiography)
MXR303 (Interpretation of Radiographic Image: Chest)
MXR304 (Interpretation of Radiographic Image: Extremities)
MXR306 (Quality Control QC for Computed Radiography CR System)
MXR308 (Radiation Protection for Officer Medical)
MXR400 (Seminar on Medical Imaging)
Date of the Course
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DD
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YYYY
Name (as in I.C. / Passport)
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I.C. / Passport Number
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Citizenship
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Malaysian
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Designation
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Email
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Meal Restriction (Special Diet) (No/Yes)
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Name of Company
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Company's Address
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Name of Approving Manager
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Designation of Manager
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Phone number (participant / PIC)
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Fax number
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Email of HR / person in-charge
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Mailing Address
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For delivery of certificate and receipt. If the address is same as above, please state S/A
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Date of registration
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