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TRAINING COURSE BOOKING FORM Fields marked with an asterisk * are required. * Course: Select any course COMPANY DETAILS * Title: Mr Mrs Miss Dr Prof * Contact Person: * Job Title: * Department:   HRDF Member?: Yes No   Type of Claim: SBL SBL Khas CORRESPONDENCE ADDRESS (All invoices will be sent to this address) * Company Name: * Full Address: * Telephone No.: (sample:062828105)   Fax No.: (sample:062828105) * Email Address: (sample:ravi@yahoo.com) PARTICIPANT DETAILS * No of Participants: PAYMENT DETAILS * Amount: * Payment Method: Cheque On-line  Bank:  Maybank CIMB Public Bank EON Bank RHB Bank Bank Simpanan Nasional CitiBank Hong Leong Bank Bank Rakyat HSBC Bank OCBC Bank Standard Chartered Bank AmBank Bank Islam Malaysia Bank Pertanian Malaysia UOB * On-Line Transfer: Please transfer the fund to: CIMB Bank, Acc/No. 1039013586 or Maybank, Acc/No. 504067402660 * Cheque Date:

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