MIHA Training Registration Form
Malaysian Industrial Hygiene Association (MIHA)
No. 19A, 1st Floor, Jalan 2/14
Bandar Baru Selayang, 68100 Batu Caves, Selangor

Contact: liyana.miha@gmail.com / suhaini.miha@gmail.com
Phone : 03-6135 2990 Mobile : 019-331 2173
Email address *
Full Name *
IC No. *
Mobile No. *
Company address *
Company background *
Office No.
Designation *
Please select your competency *
Required
I wish to attend (training name) *
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