HSE & DDC/DDT Training Course Nomination and Purchase Order

Company:Global Chemicals & Maintenance System LL Designation:HSE Engineer Signature: Cash Receipt No:
Nominator: Ajith Kumar GSM:93895501
E-mail:ajithkumar@albaramigroup.com Tel:24583983
Serial # Delegate Name Nationality Gender Emp # Dept Course Title Region /Location
1 Sahil Kumar INDIAN MALE 5977 Water O&M Chemical Handling MUSCAT
2 Abdul Motin Amin Mezi BANGLADESH MALE 5978 Water O&M Chemical Handling MUSCAT
3 Anil Kumar Manda INDIAN MALE 6468 Water O&M Chemical Handling MUSCAT
4 Rakibul Hassan INDIAN MALE 6689 Water O&M Chemical Handling MUSCAT
5 Girish Thannickal INDIAN MALE 6692 Water O&M Chemical Handling MUSCAT
6 Said Mubarak Salim Al Ghadani OMANI MALE 5933 Water O&M Chemical Handling MUSCAT
7 Saif Salim Hashil Al Ruzaiki OMANI MALE 5963 Water O&M Chemical Handling MUSCAT
8 Aiman Salim Farhan Al Ghadani OMANI MALE 5938 Water O&M Chemical Handling MUSCAT
9 Said Salim Saif Al Ghadani OMANI MALE 5941 Water O&M Chemical Handling MUSCAT
10 Khalid Khalfan Sulayiam Al Jabri OMANI MALE 5931 Water O&M Chemical Handling MUSCAT
11 Yahya Khalfan Mubarak Al Jabri OMANI MALE 5945 Water O&M Chemical Handling MUSCAT

Please Note
a. All sections must be completed, incompleted nomination forms will be returned.
b. Cancellations must be received in writing (e-mail) within 24hrs prior to the course start date.
c. If cancellation notice is not received or delegates do not attend, they will be recorded as a 'no-show' and full fees will be due.
d. All delegates are requested to arrive at least 30 minutes before the start of the course for registration. Late arrivals maybe refused entry to the course.
e. Delegates must have been 'in-country' for at least 24hrs before the start of the course to ensure they are fit to attend.
f. For PDO ORT please enter ORT-S or ORT - NS. By signing this form you are confirming that the nominated delegate is employed by your company in that role.
g. PDO passports can only be issued after completing the appropriate learning ladder.
h. Please ensure that you are familiar with the PDO requirements for training as per the SP1157 document before you send your nomination.
Personal Requirments
1 HSE Passport.
2 ID or Labour Card.
3 Passport size photo for each course.
4 PPE must be worn.
5 Disdashas are not allowed.
6 Females, same as above, abayas are permitted.
Please e-mail your completed nomination forms to noora@ats-om.com (Muscat Branch) mona.rec@ats-om.com (Nizwa Branch) or
or call 24504213 (Muscat) or 25449212 (Nizwa) for more information.
ATS - NF - V5:R2:Jan - 2019/ECD
 Stamp:

Lang Date PDO/Non-PDO Oxy, S/NS New/Ref

HINDI
HINDI
HINDI
HINDI
HINDI
ARABIC
ARABIC
ARABIC
ARABIC
ARABIC
ARABIC

‫ لرجاء إحضار‬:.
‫جواز السالمة‬ )1
‫صور شخصية عدد‬ )2
 ‫مالبس مناسبة للتدريب ( كفرول او بنطلون وقميص وأحذية ) الدشداشة غير مقبولة‬ ‫‪)3‬‬
‫للنساء يجب لبس كالمذكور اعاله العبايات مقبولة‬ ‫‪)4‬‬
‫البطاقة الشخصية للعمانين وبطاقة العمل لألجانب ‪ /‬الوافدين‬ ‫‪)5‬‬

‫‪wa Branch) or hand in to the reception,‬‬