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Ergonomics Trained Person Course (Initial Level) Mac 2021
This form will collect registration information for ERA Training. Every session is open up from 12 to 20 pax.
Time: 0900H to 1700H
Venue: Online Platform, Zoom
Date: 24th Mac 2021- 25th Mac 2021
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Full Name (As per I/C card)
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Your answer
MyKAD / Passport No (e.g : 881008-56-5111 with dash '-')
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Your answer
Mobile number
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Your answer
Email address
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Your answer
Company/Organization/Persendirian
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Your answer
Position/Designation
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Your answer
Course Fee (Please tick the appropriate choice). Note (1): HFEM Active member is a member who pay current year of membership fee.
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HFEM Active Member (RM 650.00)
Non HFEM Member (RM 750.00)
Required
Method of payment
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Cheque
Electronic Fund Transfer
Company guarantee letter
Touch n Go eWallet
Required
Payment information (Bank Details for Telegraphic/Electronic Fund Transfer)
Account Name: Human Factors and Ergonomics Society (M)
Bank and Branch: Maybank (KL Sentral Branch)
Bank Swift Code
: MBBEMYKL
Account No.
: 564717004441
Kindly email the transaction receipt/cheque deposit slip/bank in slip to
training@hfem.org
.
New method of payment (E-wallet)
Touch n Go e-Wallet is available
Billing address to receive a quotation/invoice.(Applicable for those who would like to apply via company)
Your answer
Add note (If any)
Your answer
Thank you.
For those who submit company billing address, we will email together the course outline, trainer's profile, invoice/quotation.
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