ERGONOMIC TRAINED PERSON (2024 INTAKE)
Registration Form
Competency Level to Attend:
*
Level 2 (Advanced Ergonomic Risk Assessment) - 10 - 12 DECEMBER 2024
Level 1 (Initial Ergonomic Risk Assessment) - 22 & 23 JANUARY 2025 (UTM JB)
Level 1 (Initial Ergonomic Risk Assessment) - 19 & 20 FEBRUARY 2025 (UTM KL)
Your Payment Method
*
Paid by Company
SBL-Khas Grant Claim
Full Name
*
I/C Number
*
(example: xxxxxx-xx-xxxx)
Mobile Phone Number
*
example: 010-98765432
Email Address
*
example: xxxx@gmail.com
Home Address
Special Diet Preference
*
(Please state if you are VEGAN, VEGETARIAN or other preference if applicable. If you don't need any special diet, just state NO)
Course Fee
*
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ETP LEVEL 1 (SBL-KHAS CLAIM)
1,203.70
MYR
COMPULSORY for SBL-Khas claim/ SBL-Khas grant application
ETP LEVEL 1 (NON SBL-KHAS CLAIM)
925.93
MYR
Self-paid / Payment by Company
ETP LEVEL 2 (SBL-KHAS CLAIM)
1,481.48
MYR
COMPULSORY for SBL-Khas claim/ SBL-Khas grant application
ETP LEVEL 2 (NON SBL-KHAS CLAIM)
1,296.30
MYR
Self-paid / Payment by Company
Subtotal
0.00
MYR
Tax
0.00
MYR
Total
0.00
MYR
For payment by company:
Name of Company
*
Address of Company
Officer in charge
*
Officer's Contact Details ( Office Phone Number & Email Address)
*
Please contact us at
019-6000 396 / 018-770 7097 / 018-771 0170
for any help or inquiries
For more details regarding this course, please visit our website at
https://utmunbox.com/competency/
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