Short-Term Course Quotation Requisition Form
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Company Particular
Company Name *
Company Registration Number *
Company Address *
Phone Number *
Fax Number *
Contact Person *
Contact Person Email Address *
Short-Term Course Detail
Course Name *
Training Date *
Participant's Name, IC Number & Designation *
Example: Ali Taib, 780102-02-4563, Network Engineer. (separate each participants by press enter)
Terms And Conditions
Cash or cheque upon registration and payable to German-Malaysian Institute. All Payment must be forwarded to the Marketing Unit, together with a copy of this registration form.

Latest 7 working days before course commences.

German-Malaysian institute reserves the right to cancel or reschedule the date and time of any course.

Confirmation on registration will be notified in writing by GMI.

1) Cancellation will be accepted up to 5 working days before course commences.
2) Within 5 days preceding commencement of course, 75% refund will be made.
3) After commencement, no refunds can be made but substitute participants are allowed.
4) Cancellation made on or after course commencement date is invalid and full amount will be invoiced accordingly.

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This form was created inside of German-Malaysian Institute.