Request edit access
OSH-COORDINATOR PROGRAM  ACCREDITED BY DOSH/JKKP (3 DAYS) 
This form is intended for public registration (public class). If you are interested in a dedicated stand-alone class for your company/organization, please contact us at tnc.ikatan@gmail.com or call/Whatsapp our Training Coordinator, Ms. Isabella Sya at +60133842383 for further information. We offer customization services to provide added value tailored to your specific needs.

Public Class Fees (3 DAYS) : RM890/pax

Ikatan Corporate Members Fees: RM757/pax

HRDC claimable - HRDC-approved Reference No: 10001308454

Training Venue: Pertubuhan Ikatan Komuniti Selamat; 10-09 Menara The Stride, Bukit Bintang City Centre, No 2, Jalan Hang Tuah, 55100 Kuala Lumpur. - Tel: +603- 2110 0236
Sign in to Google to save your progress. Learn more
Participant Registration
Please fill in all the essential particulars below:
Your Full Name (as per IC): 
 *
Your Email Address:   *
Registered Company Name:   *
NRIC / Identity Card No.: *
Contact Number: *
Number of Participants *
Participant particulars (Name, IC + Contact No.) 
Please include all names + details if more than one participant:  
 *
Payment Method *
Payment Detail
For all payments, please bank-in according to the details below and send a copy of the receipt with Payee Information & Contact No. to <tnc.ikatan@gmail.com>:

PERTUBUHAN IKATAN KOMUNITI SELAMAT 
PUBLIC BANK BHD 
Account No: 3212199318
How did you come to know about this course? 
 *
Course Date *

⁷Please note that if there are multiple participants, kindly contact us separately for their respective dates.

Also, please note that the course are booked on a first come first serve basis. Courses may either be fully booked or not yet available for selection if the date is not selectable.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms