MSTH Q-Cap Training Application (Corporate)

* indicates required fields

Certification

Certification Program *
Preferred Training Date *

Organization's Details

Company Name *
Company Registration No *
Address *
Website
Telephone No *
Fax No *

Particulars of Contact Person

Name of Contact Person *
Designation *
Email Address *
Contact Number *
Mobile Number *
Fax Number

Declaration of Applicant

 
*I declare that the information provided in this application is true and correct. I understand that my application is subject to MSTB evaluation and approval

Declaration of Personal Data Protection Act (PDPA)

Please tick (✓) in the appropriate boxes
(* Compulsory and necessary for successful registration)
 
* I/We have read and agree to the Terms and Conditions, and Statement of Privacy.
Saya/Kami telah membaca dan bersetuju dengan Syarat-syarat dan Peraturan(versi bahasa inggeris) serta Kenyataan Privasi.
 
 
* I/We hereby give my/our consent for MSTB to retain information provided in this form for the purpose of registration and communications related to my membership to Q-Portal.
Saya/Kami dengan ini membenarkan MSTB untuk meyimpan maklumat yang dinyatakan di dalam borang ini untuk tujuan pendaftaran dan komunikasi berkaitan keahlian Q-Portal.
 
 
I/We hereby give my/our consent for MSTB and/or its appointed agent to contact me/us for the purposes of providing update on and/or invitation to participate in future activities that may be of interest to me/us.
Saya/Kami dengan ini membenarkan MSTB dan/atau ejen dilantik untuk menghubungi kami untuk mengemaskini maklumat dan/atau menyampaikan undangan untuk aktiviti-aktiviti di masa hadapan yang mungkin bersesuaian dengan saya/kami.
 
  Should you wish to cease receiving such communications, please inform MSTB through email: info@mstb.org.
Sekiranya anda tidak lagi berhasrat untuk menerima sebarang komunikasi, anda boleh menghubungi MSTB melalui emel: info@mstb.org.