FORKLIFT SAFETY (FLS) FORKLIFT SAFETY (FLS) Date Course (Tarikh Kursus) * Melaka 13/1/2020 – 15/1/2020 Melaka 5/2/2020 – 7/2/2020 Melaka 29/3/2020 – 31/3/2020 Melaka 9/4/2020 – 11/4/2020 Melaka 17/5/2020 – 19/5/2020 Melaka 21/6/2020 – 23/6/2020 Paka 29/1/2020 – 31/1/2020 Paka 11/2/2020 – 13/2/2020 Paka 1/3/2020 – 3/3/2020 Paka 7/4/2020 – 9/4/2020 Paka 3/5/2020 – 5/5/2020 Paka 28/6/2020 – 30/6/2020 Participant Name (Nama Peserta) * IC Number (No. Kad Pengenalan) * Email * Home Address (Alamat Rumah) * Poscode (Poskod) * State (Negeri) * Melaka Kuala Lumpur Johor Negeri Sembilan Terengganu Pahang Perlis Perak Pulau Penang Kedah Kelantan Selangor Sabah Sarawak Home Tel. Number (No. Tel. Rumah) Handphone Number (No. Tel. Bimbit) * Physical Health Condition (Tahap Kesihatan Fizikal) Physical Body (Fizikal Badan) Heart (Jantung) Lung (Paru-paru) Eyes (Mata) No (Tiada) Source of Information about Course (Sumber mendapat maklumat mengenai kursus) * Acquaintance (Kenalan) Facebook Website (Laman Web) Media (Media Cetak) Email Email If you are human, leave this field blank. Submit