CANDIDATE REGISTRATION FORM

Training Location: ONLINE COURSE

Training Date: June 19, 2020 to July 01, 2020
Course name: NEBOSH INTERNATIONAL GENERAL CERTIFICATE Fees : 3000
Company Name: PETROJET Designation: HSE Officer
Gender
Sr. Full Name of Participants* Date of Nationality* Male/Female Email ID* Contact No* Permanent Home Address
No (According to passport) Birth* (According to passport)

MOHAMMED ABDUL August 00966- HYDERABAD, TELANGANA,

01 Indian Male Kaleem.rxp@gmail.com
KALEEM 14, 1981 560018913 INDIA

TERMS AND CONDITIONS

Candidates must read the below instructions, procedures, terms and conditions

 Candidate Registration form must be filled carefully.

 Particulars of the candidate will be verified with identification proof specified in the form.
 Registration fee is not refundable once candidate is registered with the Awarding body.
 Payment can be done by cash/Cheque/DD/Bank Transfer
 Training schedules and venue are subject to change due to unforeseen circumstances. Candidates will be intimated in advance of changes, if any.