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Get the Flayer Now !

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FILL THE FORM FOR FURTHER ENQUIRIS:

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PERSONAL PARTICULAR (Maklumat Peribadi)

Choose Date (Year 2023)*

Name (Nama)*

I/C No (No Kad Pengenalan)*

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Email (Emel)

Address (Alamat)

Phone Number (No.Tel)

Job position (Jawatan)

Date of Birth (Tarikh Lahir)

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Gender (Jantina)

Age (Umur)

Nationality (Warganegara)

Races (Kaum)

T-shirt Size (Saiz t-shirt)

Months / years boiler experience (Participant)

Have you received the complete vaccine, dose 1 & dose 2? (Adakah anda telah menerima vaksin penuh?)*

Please choose the appropriate choice ( Sila tandakan pada pilihan berkenaan)

Yes (Ya)

No (Tidak)

EDUCATIONAL BACKGROUND (Latar Belakang Pendidikan)

Name of Secondary School (Nama Sekolah Menengah)

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Year of Secondary School (Tahun Sekolah Menengah)

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Highest Qualification (Kelayakan Tertinggi)

Secondary (Menengah)

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Name of College / IPTA / IPTS University (Kolej / IPTA / IPTS/ Universiti)

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Year (Tahun)

College / IPTA / IPTS University (Kolej / IPTA / IPTS/ Universiti)

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Highest Qualification (Kelayakan Tertinggi)

College / IPTA / IPTS University (Kolej / IPTA / IPTS/ Universiti)

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PACKAGE OPTIONS (Pilihan Pakej)

Please tick the appropriate box (Sila tandakan diruang yang berkenaan)*

Fee: Includes Course Kit, Meals and Certificate of Completaion

RM3,390.00 /per pax

RM3,150.00/per pax (Group)

SPONSORSHIP / PAYMENT (Tajaan / Pembayaran)

Please tick the appropriate box (Sila tandakan diruang yang berkenaan)

Company Sponsorship (Tajaan Syarikat) HRD Corp Non-Contributor

Company Sponsorship (Tajaan Syarikat) HRD Corp Contributor

Selfpaid (Pembayaran Sendiri)

Others (Please state)

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SUBMITTED BY COMPANY (DIHANTAR OLEH SYARIKAT)To be filled if sponsored by company / HRD Corp / others sponsorship ((Dilengkapkan sekiranya ditaja oleh syarikat / HRD Corp / lain – lain penajaan)

Company Name (Nama Syarikat)

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Phone

Company Address (Alamat Syarikat)

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Email Address

Name Number (PIC Training) Human Resourse Company

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Phone

Email Address

Boiler Specification and Boiler Registration (PMD No.)

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DECLARATION (Pengakuan)

Tick the box (Tandakan kotak tersebut)*

I hereby declare that the information provided is correct and complete. (Dengan ini saya menyatakan bahawa maklumat yang diberikan adalah betul dan lengkap).

FILL THE FORM FOR FURTHER ENQUIRIS:

PERSONAL PARTICULAR (Maklumat Peribadi)

EDUCATIONAL BACKGROUND (Latar Belakang Pendidikan)

PACKAGE OPTIONS (Pilihan Pakej)

SPONSORSHIP / PAYMENT (Tajaan / Pembayaran)

SUBMITTED BY COMPANY (DIHANTAR OLEH SYARIKAT)To be filled if sponsored by company / HRD Corp / others sponsorship ((Dilengkapkan sekiranya ditaja oleh syarikat / HRD Corp / lain – lain penajaan)

DECLARATION (Pengakuan)

Your form has been submitted

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