Megamas NEBOSH IGC Registration form

MEGAMAS TRAINING COMPANY SDN. BHD.
YOUR FIRST CHOICE HSE PARTNER
+673 – 3332842 / 2800 / 2872 or +673 – 3342212 +673 – 3332845 info@megamas.com www.megamas.com
NEBOSH INTERNATIONAL GENERAL CERTIFICATE IN OCCUPATIONAL SAFETY AND
HEALTH REGISTRATION FORM
Please complete this form using only blue/black ink and write in BLOCK CAPITALS. Megamas Training Company Sdn Bhd cannot accept responsibility for errors made
by candidates in completing this form.
The application form below contains all the information that NEBOSH require. Late entries will not be accepted by NEBOSH under any circumstances. Incomplete
registration forms mean NEBOSH will not register you for the examination(s).
Please include a scan of a photopage of your passport. NEBOSH will require this to verify your ID.
PERSONAL DETAILS
X
Title
Mr/Mrs/Miss/Ms/Other
X
First Name:
X
Gender: Male Female
Surname:
X
X
X
These details (first name & surname) will appear on your unit certificate/ parchment: first name followed by surname.
Date Of Birth: / / Nationality:
I.C/Passport No:
MAILING ADDRESS & CONTACT DETAILS
Address:
Postcode:
Telephone No. - Home: Mobile: Office:
Email Address:
COURSE DATE
Selected Course Date(s):
Details of course and examination dates specific to our courses can be obtained via our website (www.megamas.com), email (info@megamas.com) or call us at +673
3332842
MTC-OPE-001/7.9 Rev 2
www.megamas.com

PAYMENT
On receipt of payment and enrolment form, reservation is confirmed.
Form Of Payment: Cash Cheque / Bank Draft Direct Bank In TT to our bank account
Cheque Number:
Total Fee:
FEE DETAILS
Fee Element
Total Payable (BRUNEI DOLLARS)
Full Course + 3 Unit Exams 2,500.00
For applicants who have previously taken IOSH Managing Safely at Megamas, then the NEBOSH course
fee will be:
2,200.00
PAYMENT INFORMATION
If you prefer to pay via Direct Bank In or TT, please kindly email us a copy of the relevant banker’s remittance advice to info@megamas.com for our
reference.
Account Name
Megamas Training Company Sdn Bhd
Account Number 03-00-110-252047
Bank Name
Bank Address
Swift Code
Baiduri Bank BHD
Block A, Units 1-4, Kiarong Complex, Lebuhraya Sultan Hassanah Bolkiah BE1318, Brunei Darussalam
BAIDBNBB
If you have previously taken IOSH Managing Safely course, please state the date(s) of the course.
HOTEL PACKAGE
Do you require hotel package and airport transfers? Yes, Please quote me a package No thanks
Details of hotel package and airport transfers can be obtained via (www.megamas.com/nebosh.aspx)
BOOKING AND CANCELLATION POLICY
Booking Policy
Reserved places for any course presented by Megamas Training Company Sdn Bhd are only confirmed on receipt of payment in full. Failure to comply
with this requirement may result in NEBOSH registration being delayed and candidates being unable to take the examination with the course.
Cancellation Policy
In the event that registration is complete but a candidate is unable to attend the course, the following rules will apply.
Cancellation more than 4 weeks prior to the start of the course.
Cancellation more than 21 days prior to the start of the course.
Cancellation less than 21 days prior to the start of the course.
Cancellation less than 14 days prior to the start of the course.
Full refund of deposit or transfer to another NEBOSH course run by Megamas.
Full refund of deposit less B$300 administration fee, or transfer to another
NEBOSH course run by Megamas.
50% refund of all fees will be made.
No refund will be made.
Megamas Training Company Sdn Bhd reserves the right to cancel a course in extreme circumstances. Candidates will have the choice to register for
the next suitable course or to be repaid all recoverable costs.
MTC-OPE-001/7.9 Rev 2
www.megamas.com