HIGH PRESSURE WATER JET (HPWJ) HIGH PRESSURE WATER JET (HPWJ) Date Course (Tarikh Kursus) * Melaka 27/1/2020 – 29/1/2020 Melaka 17/2/2020 – 19/2/2020 Melaka 12/3/2020 – 14/3/2020 Melaka 28/4/2020 – 30/4/2020 Melaka 11/5/2020 – 13/5/2020 Melaka 26/6/2020 – 28/6/2020 Paka 6/1/2020 – 8/1/2020 Paka 23/2/2020 – 25/2/2020 Paka 15/3/2020 – 18/3/2020 Paka 19/4/2020 – 21/4/2020 Paka 26/5/2020 -28/5/2020 Paka 2/6/2020 – 4/6/2020 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) If you are human, leave this field blank. Submit