Punjab Safety Bureau (PSB)

Doc. No: PSB/RF- 01

Rev: 03
Registration Form Issue Date: 24.02.2022
Page 1 of 1

(TO BE FILLED IN CAPITAL LETTERS ONLY) Registration No. Date:

Please select on the box which Training Title you want to register:

NVQ Level 6 Diploma in OHS Practice

OTHM Level 3 Technical Certificate in OHS OTHM Level 6 Diploma in Business Management
OTHM Level 6 Diploma in OHS OTHM Level 7 Diploma in Risk Management
OTHM Level 7 Diploma in OHS Management OTHM Level 7 Diploma in Project Management
ISO Lead Auditor course (IRCA-CQI) 45001:2018 14001:2015 9001:2015
Associate safety professionals (ASP) Certified safety professionals (CSP)
OSHA 48 Hours OSHA 30 Hours

Candidate Name Date of Birth

National ID Card Email Address

Father Name Gender Male Female

Mobile No. Emergency No.

Qualification Middle Matric Intermediate Graduate Engineering Master Other

Home Address

How you find us? PSB Student Internet Friends Other

Document Attached Method of Payment

Copy of CNIC / Form B Cash

Educational Certificate Cheque
Photograph (s) Bank Transfer

FOR TRAINING INSTITUTE USE ONLY

Total Fee paid by Trainee Bank Voucher Number

Installments of Payment 1. 2. 3. Remaining Balance
Form Approved Rejected
Training Date From To

Special Comment

Candidate Signature Admission Officer Signature HOC Signature