Registration form

HOW TO REGISTER
To register for the programme, email this form to noordalilay.lokman@petronas.com
Kindly contact Noor Dalilay Lokman at 09-668 6298 for any inquiry on the registration.

Email (default- hidden) *

1. Programme Tiltle

2. Session Date (dd/mm/yy)

A. APPLICATION INFORMATION

3. Name (As per NRIC in capital letters) *

4. IC NO. / Passport No.

5. Age

6. Sex

Male
Female

7. Nationality

Malaysian
Others, please specify

Single Line Text

8. Mailing address

City

Postal code

State

9. Contacts

Tel. No (O)

H/Phone

Fax No (O)

B. SPONSOR INFORMATION

Self-sponsored
Company-sponsored

11. Company Address for invoicing Purpose

12. GST ID No.

13. Contacts

Tel. No (O)

Phone

Person in-charge (Finance Department)

Fax No (O)

C. PAYMENT INFORMATION

14. Course Fee (RM)

D. PERSONAL DATA PROTECTION ACT (PDPA)

I expressly agree and consent to INSTEP processing my Personal Data (including my Sensitive Personal Data) in accordance with INSTEP Privacy Statement. For details on PDPA Notice, please visit our website at www.instep.my
I expressly agree and consent to INSTEP Terms and Conditions

Note:
1. All information MUST be provided
2. This registration is subject to the Terms and Conditions

Registration form

A. APPLICATION INFORMATION

B. SPONSOR INFORMATION

C. PAYMENT INFORMATION

D. PERSONAL DATA PROTECTION ACT (PDPA)

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Registration form

A. APPLICATION INFORMATION

B. SPONSOR INFORMATION

C. PAYMENT INFORMATION

D. PERSONAL DATA PROTECTION ACT (PDPA)

Stay Connected with Us

Our Services

Learning Calendar