JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
OSH-C REGISTRATION FORM (AUGUST 2023)
Title: Occupational Safety and Health Coordinator (OSH-C)
Date: 8th, 9th and 10th August 2023 (Tue, Wed, Thurs)
Duration: 3 Days
Time: 9.00am - 5.30 pm
Venue: Sandakan, Sabah
Mode: F2F
Training Provider: AJ Safety Training and Consultancy PLT
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Type of Registration
*
Choose
Self-Sponsor
Corporate Sponsor(Non-HRD Corp)
Corporate Sponsor(HRD Corp) -No Upfront Payment Required(SBL Khas)
Contact Person
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Company Name and Address
Your answer
No. of Participant
*
Your answer
Name of Participant and IC No.
*
Your answer
State
*
Choose
Sarawak
Sabah
Pahang
Terengganu
Kelantan
Johor
Melaka
Negeri Sembilan
Perak
Pulau Pinang
Kedah
Perlis
Selangor
Wilayah Persekutuan Kuala Lumpur
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.
Yes
No
*
Disclaimer: The information in this form are given for information purposes only. Company do not have right to disclose to others without permission from the owner.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
