AHA Heart saver 1st Aid, CPR & AED (Pilot Courses) - NO

COMPLETE THE FORM IN CAPITAL LETTERS. If hand written, scan i

ALL COURSES WILL BE DELIVERED AT PDO's Learni

Course Booking Focal Point Details Training Vendor:
Name: SMI 94989402
Ref. Indicator
Tel. Number:
NOTE:
1 All delegates will be required to complete an end o
Fax Number: to properly assess if it meets current and anticipated 1st Aid
GSM:
Full email:

Nominee's Full Name Emp No. Ref Ind

No
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2
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ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMI

INSTRUCTIONS
a) Please fill up the form in BLOCK letters.
b) Please write the name of the nominee and details mentioned above.
c) If you have more than 7 nominees please use additional course nomination forms.

IMPORTANT
e) The candidate MUST be able to clearly understand the language the course is delivered in.
f) Cancellation must be received at least 72 hours prior to the commencement of the
course, otherwise full course fee will be charged.
g) "NO SHOWS" will be charged at full course fee, and back-charged to the delegate's Directorate or function.
Heart saver 1st Aid, CPR & AED (Pilot Courses) - NOMINATION FORM & PURCHASE ORDER

APITAL LETTERS. If hand written, scan it. Save to your PC, before emailing to Al.shumoosmi@g

ALL COURSES WILL BE DELIVERED AT PDO's Learning & Development Centre, MAF
Training Vendor: Tel . Nos: Email: Fax No:
SMI 94989402 /Malik Instructor GSM 93064015 Al.shumoosmi@gmail.com 2454266

OTE:
All delegates will be required to complete an end of course evaluation form/exercise to provide meaningful feedback
properly assess if it meets current and anticipated 1st Aid training needs.

Full email address, e.g. Office

GSM Course Start Date Course Title
joe.t.bloggs@pdo.co.om Telephone

Heart saver 1st Aid, CPR & AED

Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
Heart saver 1st Aid, CPR & AED
ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMINATION WILL NOT BE ACCEPTED

the course is delivered in.

mencement of the

d to the delegate's Directorate or function.

o Al.shumoosmi@gmail.com

Fax No:
@gmail.com 24542663

ngful feedback, enabling the company

Course Title Language Location

saver 1st Aid, CPR & AED ENGLISH PDO LDC

saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC
saver 1st Aid, CPR & AED ENGLISH PDO LDC

CUSTOMER AUTHORISATION

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