REGISTRATION VERIFICATION

Company Name
Company Address
Date
Name
Designation
Person in Charge Phone No
Email

COURSE TITLE: ___________________________________________________________________ (Please Initial

tick) Refresher

N Participant Full Name NRIC Designation Email Address

I, hereby verify all the details for the registration,

Name: ____________________________________________

Designation: ______________________________________

Authorised Signature Company Stamp

ALLIED AERONAUTICS TRAINING CENTRE SDN. BHD.201101028976 (957111-V)

No. 15-19, Jalan PJU 1A/41B, Pusat Dagangan NZX, Ara Damansara,
47301 Petaling Jaya, Selangor Tel : +603 7887 7121 Fax : +603 7886 71111