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  • Workshop Application Form

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    Nurul Ashikin
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    This document is a registration form for professional and personal development workshops held by the Institute of Postgraduate Studies. It requests the participant's name, matric number, school, nationality, IC/passport number, mobile number, email, the program, and a list of specific courses they wish to attend along with the dates. Contact information is provided for the workshop secretariat.

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    This document is a registration form for professional and personal development workshops held by the Institute of Postgraduate Studies. It requests the participant's name, matric number, school, nationality, IC/passport number, mobile number, email, the program, and a list of specific courses they wish to attend along with the dates. Contact information is provided for the workshop secretariat.

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    © All Rights Reserved
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    Download as doc, pdf, or txt
    37 views1 page

    Workshop Application Form

    Uploaded by

    Nurul Ashikin
    This document is a registration form for professional and personal development workshops held by the Institute of Postgraduate Studies. It requests the participant's name, matric number, school, nationality, IC/passport number, mobile number, email, the program, and a list of specific courses they wish to attend along with the dates. Contact information is provided for the workshop secretariat.

    Copyright:

    © All Rights Reserved
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    of 1

    BORANG PENDAFTARAN / REGISTRATION FORM

    PROFESSIONAL & PERSONAL DEVELOPMENT WORKSHOPS


    INSTITUTE OF POSTGRADUATE STUDIES

    1. Nama (Name)

    : ____________________________________________________

    2. No. Matrik (Matric No.)

    : ____________________________________________________

    3. Pusat Pengajian (School)


    :
    ____________________________________________________
    4. Warganegara
    (Nationality)

    : ____________________________________________________

    5. No. K/P /No. Pasport


    :
    ____________________________________________________
    (IC No. /Passport Number)
    6. Tel. bimbit
    :
    ____________________________________________________
    (Handphone No.)
    7. E-mel (E-mail)

    : ____________________________________________________

    8. Program (Programme)

    : ____________________________________________________

    Saya ingin mengikuti latihan berikut:


    (I wish to attend the following course):
    Title/Tajuk

    Date/Tarikh

    (i)
    (ii)
    (iii)
    (iv)
    (v)

    ________________________________
    Tandatangan
    (Signature)
    SEKRETERIAT BENGKEL
    U.P.: Puan Intan Baizura
    E-mel: ppd.ips.usm@gmail.com
    Tel. : 04-6532359
    WORKSHOP SECRETARIAT
    ATTENTION: Puan Intan Baizura
    E-mail: ppd.ips.usm@gmail.com
    Tel. : 04-6532359

    _________________________
    Tarikh
    (Date)

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