LSS Training Upcoming Registration Form

Choose your preferable to join LSS Trainings
     
1. LSS Green Belt Date :
2. LSS Black Belt Date :
3. LSS Kaizen Belt Date :
4. Others training  


PERSONAL AND ORGANIZATION DETAILS
Salutation
Full Name *
Email Address *
Phone Number *
(home)
(mobile)
Position *
Department *
Organization Name *
Nature of Business *
Address *
Telephone Number *
(office)
(fax)
Name of HR Training Officer :
Name of Project Sponsor : (leave blank if project not scoped)
Our company is practising Lean Six Sigma.  Yes / No. :
Yes No
If Yes, Date Implemented:
 
No. of Black Belts : No. of Green Belts :

 

* Please choose one payment mode:

  Bank Transfer
  Cash Deposit
  Cheque
  HRDF Claim - SBL
 
Kindly make all cheque payable to "LSS ACADEMY SDN BHD"
Alternatively, you may also deposit the full payment directly to the bank account ; detail as follows :
 
ACCOUNT NAME LSS ACADEMY SDN BHD
ACCOUNT NO. 186-100697-4  
SWIFT CODE OCBCMYKLXXX
BANK NAME  OCBC Bank (Malaysia) Berhad
BANK ADDRESS

2, Jalan Puteri 1/1, Dataran Puteri Bandar Puteri,
   47100 Puchong, Selangor, MALAYSIA

   
*For bank transfer & cash deposit, use the same bank account and kindly fax the receipt to us at +603 8061 4634 for our record and perusal.
 
Terms & Conditions.
Kindly send us an invoice. Yes
I confirm my 100% attendance for this training programme. Yes
I understand and agree that my acceptance is subject to the terms and conditions. Yes
Please tick if you are a vegetarian. Yes (leave blank if you're not vegetarian)
 
For further inquiries, you may contact to our office, +603 5521 8555.
 
 
CANCELLATION & SUBSTITUTIONS: All cancellation of training must be made in writing. If cancellation is received less than three weeks before the event, no refund is given. If cancellation is received less than four weeks but more than three weeks before the event, 50% will be refunded. If cancellation is received at least four weeks before the event, 80% will be refunded. Substitutions is allowed and subject to pre-qualification process by the licensor.