Date :  
Manager's Name:
Agency / Distribution Name 
Address in Full :
Tel : ____________________      Fax : ____________________  

TO : Ms. Elma

  
    (Kindly download and print out this copy to be faxed to us)    Back   Exit
    FAX : 603 – 26911516      TEL : 019 3242062      
Kindly, enroll the following person who is confirmed attending the following
[ ]Workshop [  ]Class [  ]Seminar [  ]Training  

on the ________ day of _________ 2002.   

NAME

RANK

IC NUMBER

LEADER’S NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Submitted BY (NAME)                                   MANAGER’S SIGNATURE

For Office Use Only [ ] CC [ ] Admin [ ] Finance [ ] AccReg                                                              

copyright 2001.