EEC Client Training Request Form

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This EEC Training Request Form is designed to collect important information regarding your organization's training needs and requirements. This questionnaire helps to identify the specific training goals, the experience levels of your operators, and any existing safety protocols to ensure that our training programs are tailored to meet your unique needs.

We assure you that all information provided in this questionnaire will be kept confidential and used solely for the purpose of tailoring our training programs to your organization's needs. Your trust is important to us, and we are committed to maintaining your privacy throughout this process.

1. Basic Information

Name of PIC *

Email Address of PIC *

PIC's Contact Number (WhatsApp) *

Name of Company *

Company Address ( For Quotation Purpose) *

Is the training location same as the above address provided? *

Yes

No, please proceed to next question

For physical on-site training, please provide the training location full address *

Mode of Training (In-house training only) *

Face-to-Face Training (on-site)

Online Training

Others (please specify)

Number of Sessions Required *

1 Session only

2 Sessions

3 Sessions

Others (Please specify your requirements)

Required

When is the date you plan for the training? Please indicate the date and day accordingly *

YYYY

2. Training Programme Inquiries

Are you planning for 1 day or 2 days training?
*

1 day

2 days

What is your estimated budget per day for this training?
*

What type of payment will be used for the training?
*

Self-Paid

HRD Corp Claimable Courses

How many pax participants? Please specify the number of participants : local Malaysian and/or foreign workers
*

Please choose your preferred training programme(s) *

Forklift Safety Training (2-Day)

Forklift Refresher Training (1-Day)

First Aid, CPR and AED Training (2-Day)

Emergency Response Plan (ERP) / Emergency Response Team (ERT)

Fire Safety Training

Ergonomics and Manual Handling Training

Leadership Skills Training

Chemical Safety and Spillage Control Training

Total Productive Maintenance

Other:

Required

What is your preferred language for training delivery? *

English

Bahasa Malaysia

Mixed - English and Bahasa Malaysia

Mandarin

Do you have any specific training objectives to achieve from this training?
*

Do you have any specific topics or areas of focus you would like us to cover in the training? If yes, please specify your preferred topics below
*

Do you have any additional comments or specific requests? If yes, please specify your requirements.
*

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