Working at Height Training Registration

Working at Height Training Registration

Kindly complete the registration form below. Thank you!
Company Full Name*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Industry*
Person in Charge for Registration
Person In Charge Name*
Phone Number*
Email*
example@example.com
Training Date ( Location : PRAC Training Center @ Selangor)*

8 & 9 January 2025 - REGISTRATION CLOSED4 & 5 February 2025 - REGISTRATION CLOSED4 & 5 March 2025 - REGISTRATION CLOSED8 & 9 April 20258 & 9 May 20254 & 5 May 2025
Particular*
Registered under HRD Corp?*

YesNo
Should be Empty: