Hazard and Operability Study Course (HAZOP) Name * I/C No. (New) * I/C No. (old) Address * Postcode * State * Johor Kedah Kelantan Kuala Lumpur Labuan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Sabah Sarawak Selangor Terengganu Phone Number Mobile No * Fax no Email Address * Qualification * PhD in Engineering Masters in Engineering Degree in Engineering Diploma in Engineering Other Qualification Other Qualification (if applicable) If sponsored by employer/ company, please fill in the following section :- Company Name Company Address Postcode State Johor Kedah Kelantan Kuala Lumpur Labuan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Sabah Sarawak Selangor Terengganu Phone Number Fax no Registration Type (Choose One Only) HRDF Claim (RM 1800.00) Normal Fee (RM 1500.00) If you are human, leave this field blank. Submit
