NIOSH | E-Daftar: Induction & Safety Passport Program

Course List *

Available Locations

#	Organiser/Location	No. of Available Class	Select Location

Available Program

#	Date	Venue	Ref No.	Fees(RM)	Availability	Select Date

Sila pastikan BAYARAN dibuat dalam sistem ini bagi memastikan tempahan anda disahkan pada tarikh dan lokasi dipilih.
Please ensure PAYMENT is made in this system to ensure your booking is confirmed on the selected date and location.

Pastikan maklumat yang diisi adalah dan BETUL dan LENGKAP. Peserta perlu membuat bayaran RM50 sekiranya terdapat perubahan maklumat selepas persijilan/kad dikeluarkan.
Please ensure the informations are CORRECT and COMPLETE. RM50 will be charge if there any changes after certificate/card issued

Program Info

Program Info

I hereby understand and agreed with Terms of Entry Requirement. Please also note that from time to time, we may request for new Personal Data from you. By providing us with your Personal Data or continuing to communicate with NIOSH, we shall regard that you have consented to the processing of such data.

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Nationality *

Participant Full Name *

Participant MyKad/Passport No. *

Date of Birth *

Age *

Gender *

Male Female

Handphone No. *

Email *

Blood Type * Mandatory to fill

Allergies *

Name Display on Card (Max 10 character) *

Immediate Family Member *

Relation *

Emergency Contact No. *

Industry *

Company Name *

Current Position *

Territory Area *

Site Name *

Vegetarian *

Yes No

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Sponsorship

Self-Sponsored

Company-Sponsored

Company Category*

Authority(LLM)
Concession
Contractor

Type of Concession*

Company/Organization Address *

Postcode *

State *

City *

Person In-Charge *

Person In-Charge Email *

Contact No. *

Mailing Address *

Postcode *

State *

City *

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Payment

FPX / FPXB2B / Credit Card / Debit Card / QR & e-Wallet

SBL Khas

Government Local Order

NIOSH ingin memaklumkan bahawa kami telah bekerjasama dengan Razer Merchant Services Sdn Bhd sebagai penyedia gerbang pembayaran online. Apabila anda meneruskan ke halaman pembayaran, Razer Merchant Services Sdn Bhd akan dipaparkan sebagai "merchant".

NIOSH are pleased to inform you that we have partnered with Razer Merchant Services Sdn Bhd as our authorized payment gateway. When you proceed to the payment page, you will notice that Razer Merchant Services Sdn Bhd is displayed as the merchant.

Sila pastikan mod pembayaran yang akan dibuat.
Pertukaran mod pembayaran yang lain adalah tidak dibenarkan

Please confirm the mode of payment to be made.
Exchange of other payment modes is not allowed

Pilihan mod pembayaran secara GL hanya layak bagi syarikat yang tersenarai sahaja.

Setelah membuat pilihan mod pembayaran, pertukaran mod pembayaran yang lain adalah tidak dibenarkan.
The GL payment mode option is only eligible for listed companies.

After selecting a payment mode, switching to another payment mode is not allowed.

Sila pastikan permohonan geran HRD Corp Claimable Courses telah diluluskan oleh HRD Corp. Nombor kelulusan perlu melebihi 14 abjad. Jika nombor kelulusan tidak mencukupi 14 abjad, sila letak sifar dihadapan, contoh: ( 123A_12_1234 --> 00123A_12_1234 )

Pihak NIOSH berhak untuk tidak memproses permohonan tersebut sekiranya nombor kelulusan geran yang dimasukkan tidak diluluskan atau tidak sah.
Please ensure that the HRD Corp Claimable Courses grant application has been approved by HRD Corp. Approval number must more than 14 characters. If approval number length is less than 14 characters, please insert zero in front of number, example: ( 123A_12_1234 --> 00123A_12_1234 )

NIOSH reserves the right not to process the application if the grant approval number entered is not approved or invalid.

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