National Institute of Occupational Safety and
Health
Lot1, Jalan 15/1, Section 15,
43650 Bandar Baru Bangi
Selangor
Tel: 03-8769 2100 Fax: 03-8926 3900
Reference No :
0405LHERM20151-5891
Course Title LERN HOW TO ENHANCE YOUR RISK MANAGEMENT STRATEGY
AT THE
WORKPLACE
LERN HOW TO ENHANCE YOUR RISK MANAGEMENT STRATEGY AT THE
WORKPLACE
Course Code 04/05/LHERM/2015/1
Course Date 30/7/2015 - 30/7/2015
APPLICANT INFORMATION
Name RAHIMI NOOR HIDAYAT BIN ISMAIL
NRIC/Passport No. 831220145891
Age
Gender Male
Race
Mailing Address NO.58 JALAN KP2/3 KOTA PERDANA
BANDAR PUTRA PERMAI
Postcode 43300
City SERI KEMBANGAN
State SELANGOR
Highest Qualification
Field of Study
Current Position
Contact No. -
H/Phone 019-2220297
Email [email protected]
SPONSOR'S INFORMATION
Sponsorship Self-Sponsored
Company Name
Company Address
Postcode
City
State
Person In-Charge
Contact No. -
Fax No. -
Type of Industry
Official Stamp of Organization:
........................................................
Signature of sponsor
MEMBERSHIP INFORMATION
NIOSH Membership? , If YES :
Membership No.: .
PAYMENT INFORMATION
Course Fee RM 60
Payment Method Cash
........................................................
Signature of applicant
Date:
0405LHERM20151-5891
http://passport.niosh.com.my/online/OCRC.nsf/print?openpage&id=0...
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