Registration Form

Registration Form

Petroleum Training Services, Malaysia
Enrolment Information
Course Name:
Course Date:

DayMonthYear
Date
Course Location:
Candidate Information:
Name

First NameMiddle NameLast Name
Date of Birth:

DayMonthYear
Date
ID or Passport Country of issue: (e.g. Malaysia, Indonesia, Thailand)
ID or Passport Number:
ID or Passport Date of Issue:

DayMonthYear
Date
ID or Passport Expiry Date:

DayMonthYear
Date
Home Address:
Mobile Phone Number:
Email Address:
IWCF CR Number:
(Please get the CR number at https://www.iwcf-forum.org/newcandidate)
Job Position:
Current Company: (if self-funded mark as N.A)
Company Address:
Company Telephone:
REMARK 1: All participants have to send / Following details as below.
REMARK 2: Do you have any special requirement you wish to identify?

Other
Payment Method:

Contact PTS Asia for payment options:

Registration No.: 202501055605 (1657011-W)
Training Centre: Lot 334, Batu 8, Jalan Ulu Klang, Taman Zooview, 68000 Ampang, Selangor, Malaysia
+60 12 370 5412

info@petroleumtraining.org

www.petroleumtraining.org
The cancellation must be made and received 5 days or more prior to the course. One half of the registration fee must be paid by those registrants who cancel less than 5 days before the program.

The Registration will confirm after the payment!!!
Should be Empty:

Enrolment Information