Registration Form Course Name Training Programme Date Training Time Venue Country Fee Per Person (RM) Participant Full Name Job Title Contact No (Mobile) Email *IC No (Applicable if claim HRDC) Payment Mode Self Finance By Company HRDC Gender Male Female Meal Preference Normal Vegetarian Company Name Address City State Postal Code Country Email Office Phone No. Contact Person Job Title Mobile No. Message I confirm I have read and accepted the Terms and Conditions of this registration. Should a client fail to apply for SBL-Khas, fail to supply the grant application number or if the HRD CORP claim is rejected, the training fees stipulated in the registration form will be wholly borne by the client's company. Submit