TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, · PDF fileTop-Mech Training Centre Enrolment...
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FM-SAL-025(00) TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, JALAN WAWASAN 3/KU7, Tel: 603-3291 2689 SUNGAI KAPAR INDAH, Fax: 603-3291 6289 42209 KLANG, SELANGOR DARUL EHSAN, Email: [email protected] MALAYSIA. Website: www.topmech.com.my GST No.: 001907130368 Photo Gambar Top-Mech Training Centre Enrolment Form (Borang Pendaftaran Pusat Latihan Top-Mech) Mobile and Crawler Crane Operator Skill Program Program Kemahiran Pengendali Kren “Mobile” dan “Crawler” A) Student Personal Information Maklumat Peribadi Pelajar Name * :____________________________________________________ Nama Gender :____________________________________________________ Jantina Race :____________________________________________________ Bangsa Occupation * :____________________________________________________ Pekerjaan Date of Birth :____________________________________________________ Tarikh Lahir Identity Card No. :____________________________________________________ No. Kad Pengenalan Address :______________________________________________________________________________ Alamat :______________________________________________________________________________ Tel No. :____________________________ Fax No. :____________________________ No. Telefon No. Faks Mobile No * :______________________________________________________________________________ Nombor Telefon Bimbit Email Address * :______________________________________________________________________________ Alamat Emel B) Company Information Maklumat Syarikat Company Name * :______________________________________________________________________________ Nama Syarikat Date of Incorporation :______________________________________________________________________________ Tarikh Penubuhan Page 1
Transcript of TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, · PDF fileTop-Mech Training Centre Enrolment...
FM-SAL-025(00)
TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, JALAN WAWASAN 3/KU7, Tel: 603-3291 2689 SUNGAI KAPAR INDAH, Fax: 603-3291 6289 42209 KLANG, SELANGOR DARUL EHSAN, Email: [email protected] MALAYSIA. Website: www.topmech.com.my GST No.: 001907130368
Website: www.topmech.com.my
Photo Gambar
Top-Mech Training Centre Enrolment Form (Borang Pendaftaran Pusat Latihan Top-Mech)
Mobile and Crawler Crane Operator Skill Program
Program Kemahiran Pengendali Kren “Mobile” dan “Crawler”
A) Student Personal Information Maklumat Peribadi Pelajar Name * :____________________________________________________ Nama Gender :____________________________________________________ Jantina Race :____________________________________________________ Bangsa Occupation * :____________________________________________________ Pekerjaan Date of Birth :____________________________________________________ Tarikh Lahir Identity Card No. :____________________________________________________ No. Kad Pengenalan Address :______________________________________________________________________________ Alamat
:______________________________________________________________________________ Tel No. :____________________________ Fax No. :____________________________ No. Telefon No. Faks Mobile No * :______________________________________________________________________________ Nombor Telefon Bimbit Email Address * :______________________________________________________________________________ Alamat Emel
B) Company Information Maklumat Syarikat Company Name * :______________________________________________________________________________ Nama Syarikat Date of Incorporation :______________________________________________________________________________ Tarikh Penubuhan Page 1
FM-SAL-025(00)
TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, JALAN WAWASAN 3/KU7, Tel: 603-3291 2689 SUNGAI KAPAR INDAH, Fax: 603-3291 6289 42209 KLANG, SELANGOR DARUL EHSAN, Email: [email protected] MALAYSIA. Website: www.topmech.com.my GST No.: 001907130368
Website: www.topmech.com.my
Address :______________________________________________________________________________ Alamat
:______________________________________________________________________________
Name of Contact Person * :______________________________________________________________________________ Nama Untuk Dihubungi Position :______________________________________________________________________________ Jawatan Tel No. :____________________________ Fax No. :____________________________ No. Telefon No. Faks
Mobile No * :______________________________________________________________________________ Nombor Telefon Bimbit Email Address * :______________________________________________________________________________ Alamat Emel
C) Course Type (Please Tick) * Jenis Kursus (Sila Tandakan)
Learner Heavy Machinery Operator Program (Level 1) Program Pengendali Jentera Berat (Tahap 1)
Duration : 8 Weeks Tempoh : 8 Minggu Pre-requisite : 18 years old, Valid Driving License Pra-Syarat : 18 tahun, Lesen Memandu Yang Sah Vocational Training : Classroom + Practice Latihan Vokasional : Kelas + Latihan Price : RM 8480.00 (Total Price Include 6% GST) Harga : RM 8480.00 (Jumlah Harga Termasuk 6% GST)
Semi-Skilled Heavy Machinery Operator Program (Level 2) Program Separa Mahir Pengendali Jentera Berat (Tahap 2)
Duration : 8 Days Tempoh : 8 Hari Pre-requisite : 18 years old, Valid Driving License and CIDB Green Card Pra-Syarat : 18 tahun, Lesen Memandu Yang Sah and Kad Hijau CIDB Vocational Training : Classroom + Practice + OJT Latihan Vokasional : Kelas + Latihan + OJT Price : RM 1700.00 (Total Price Include 6% GST) Harga : RM 1700.00 (Jumlah Harga Termasuk 6% GST) Page 2
FM-SAL-025(00)
TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, JALAN WAWASAN 3/KU7, Tel: 603-3291 2689 SUNGAI KAPAR INDAH, Fax: 603-3291 6289 42209 KLANG, SELANGOR DARUL EHSAN, Email: [email protected] MALAYSIA. Website: www.topmech.com.my GST No.: 001907130368
Website: www.topmech.com.my
Skilled Heavy Machinery Operator Program (Level 3)
Program Kemahiran Pengendali Jentera Berat (Tahap 3)
Duration : 2 Days Tempoh : 2 Hari Pre-requisite : 22 years old, Valid Driving License, Valid “H” Driving License and CIDB Green Card Pra-Syarat : 22 tahun, Lesen Memandu Yang Sah, Lesen Memandu “H” Yang Sah dan
Kad Hijau CIDB Vocational Training : Classroom + Practice + OJT Latihan Vokasional : Kelas + Latihan + OJT Price : RM 2270.00 (Total Price Include 6% GST) Harga : RM 2270.00 (Jumlah Harga Termasuk 6% GST)
Specialist In Heavy Machinery Operation Program (Level 4) Program Latihan Mahir Dalam Pengendalian Jentera Berat (Tahap 4)
Duration : 3 Days Tempoh : 3 Hari Pre-requisite : 24 years old, Valid Driving License, Valid “H” Driving License, CIDB Green Card and DOSH Certification Pra-Syarat : 24 tahun, Lesen Memandu Yang Sah, Lesen Memandu “H” Yang Sah dan
Kad Hijau CIDB dan Sijil DOSH Vocational Training : Classroom + Practice + OJT + Safety Auditing Program Latihan Vokasional : Kelas + Latihan + OJT + Program Pengauditan Keselamatan Price : RM 2270.00 (Total Price Include 6% GST) Harga : RM 2270.00 (Jumlah Harga Termasuk 6% GST)
Heavy Machinery Maintenance Program (Level 5) Program Penyelenggaraan Jentera Berat (Tahap 5)
Duration : 2 Days Tempoh : 2 Hari Pre-requisite : 26 years old, Valid Driving License, Valid “H” Driving License, CIDB Green Card, DOSH Certification and NIOSH Certification Pra-Syarat : 26 tahun, Lesen Memandu Yang Sah, Lesen Memandu “H” Yang Sah,
Kad Hijau CIDB, Sijil DOSH dan Sijil NIOSH Vocational Training : Classroom + Practice + ESH Program + Safety Auditing Program Latihan Vokasional : Kelas + Latihan + Program ESH + Program Pengauditan Keselamatan Price : RM 2270.00 (Total Price Include 6% GST) Harga : RM 2270.00 (Jumlah Harga Termasuk 6% GST)
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FM-SAL-025(00)
TOP-MECH PROVINCIAL SDN BHD (448880-V) NO. 13, JALAN WAWASAN 3/KU7, Tel: 603-3291 2689 SUNGAI KAPAR INDAH, Fax: 603-3291 6289 42209 KLANG, SELANGOR DARUL EHSAN, Email: [email protected] MALAYSIA. Website: www.topmech.com.my GST No.: 001907130368
Website: www.topmech.com.my
Payment Mode (Please Select) * Cara Pembayaran (Sila Pilih)
Cash: Individual Bank Transaction: Individual Tunai Individu Transaksi Bank Individu Company Company
Syarikat Syarikat
Cheque: Individual Credit Card: Individual Cek Individu Kad Kredit Individu Company Company
Syarikat Syarikat
Other: __________________________________ Lain-lain Maybank Account Number: MBB 5124 6410 9132 Nombor Akaun Maybank I hereby declare that I have read and understood the information contained on the Enrolment Form and that the information I have provided is correct. *
(Saya mengakui bahawa saya telah membaca dan memahami maklumat yang terkandung di dalam Borang Pendaftaran dan maklumat yang saya berikan adalah benar.)
Signature Tandatangan _____________________ Date: Tarikh
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