BORANG PENDAFTARAN / REGISTRATION FORM
NUCLEAR SCIENCE & ENGINEERING
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COURSE /CODE & TITLE *
COURSE LOCATION *
DATE OF THE COURSE (START) *
MM
/
DD
/
YYYY
DATE OF THE COURSE  (END) *
MM
/
DD
/
YYYY
NAME (AS IN I.C/PASSPORT) *
I.C / PASSPORT NO *
DESIGNATION *
EMAIL *
ACADEMIC QUALIFICATION *
MEAL RESTRICTION  (SPECIAL DIET) (NO/YES) *
 IF YES, PLEASE STATE
NAME OF COMPANY & ADDRESS *
APPROVING MANAGER NAME *
DESIGNATION *
TELEPHONE *
FAX *
EMAIL  HR /PIC *
DATE *
MM
/
DD
/
YYYY
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