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PRINSIP MAHIR SDN BHD

(589748-X)
No 7B, Solok Seri Sarawak 36, Off Jalan Tun Abdul Razak,
Taman Sri Andalas, 41200 Klang, Selangor Darul Ehsan, Malaysia.
Tel : 03-3323 1126 / 1129, H/P : 0123451192, Fax : 03-3323 1192
ysl@prinsipmahir.net, admin@prinsipmahir.net

REGISTRATION FORM

HACCP Lead Assessor Training


Date : 13th – 17th April 2009
Venue : To be advised (Malaysia)
Fee : RM 3,500 per pax

CONTACT PERSON DETAIL

Mr/Mrs/Ms Company Name :

Tel : Fax :

H/P : E-mail Address :

Address (Full address for issuing the receipt) :

Participant Name Position E-mail Address

Special assistance required :


(1) Hotel (please specify budget range) :
(2) Meal (Vegetarian, allergy etc) :
(3) Others :
Payment :
1. Cheques payment made payable to Prinsip Mahir Sdn Bhd or
2. Bank-in to our Hong Leong Bank A/C No. 067-000-59788
3. Wire transfer: Hong Leong Bank Berhad, Taman Sri Andalas Branch, Klang, Selangor
4. Swift Code : HLBB MYKL
• Any cancellation of registration upon confirmation will not be entertained.
• If the participant is unable to attend, a replacement is acceptable as the fees are non-refundable.
• PM reserves the right to change the course date, speaker(s) and venue if it deemed necessary.
• Course fee is 100% HRDF Claimable (for Malaysia Company only)

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