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HSSE
Natural Gas Workshop – 2016
SECTION I: PERSONAL INFORMATION
Name Of Student
*
Mailing Address
*
Email Address
*
Contact Number:
*
Name Of Tertiary Institution
*
Degree Level
*
Bachelor’s Degree
Master’s Degree
Name Of Programme
*
Year Of Study
*
1
2
3
4
SECTION II: WORKSHOP PARTICULARS
Dietary Requirements
*
Meat
Fish
Strict Vegetarian
State any allergies
*
Any other dietary restrictions
*
Workshop Interested In Attending
*
Workshop 1: 19th – 21st July, 2016
Workshop 2: 26th – 28th July, 2016
Workshop 3: 9th – 11th August, 2016
Workshop 4: 16th – 18th August, 2016
In Case of Emergency Contact:
Name
*
Relationship to Applicant
*
Contact #
*