INGRESS CONTROL SYSTEMS (M) SDN BHD (1142870-U) 22A, Jalan SG 9/25, Taman Sri Gombak, 68100 Batu Caves, Selangor, Malaysia. Tel : +603 – 6185 5121 Email : info@ingress.com.my website : www.ingress.com.my
“INDUSTRIAL ELECTRONIC REPAIRS TRAINING REGISTRATION FORM” Please tick (X) or (√) whichever applicable
Level 1
Normal
Early Birds*
Group registration**
RM2,500 per person
RM2,250 per person
Level 2
RM3,500 per person
RM3,350 per person
RM3,250 per person
Payment : Cash Cheque Training Date : Total No. of participants : Total Fee :
* Early birds registration is considered at 2 weeks before start of the training.
** Group Registration of 6 people and more, from same organization / under one name.
Your Company Details :
Organization :
Nature of Business :
Contact Person :
Designation :
Address :
Tel :
Fax : Email :
Participant Details :
1. Name :
2. Name :
IC :
Email :
Email
Contact :
Contact
3. Name :
4. Name :
5. Name :
6. Name :
Terms and Conditions :
I Accept Terms & Conditions
Monday – Friday 8.00 AM – 5.00 PM