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DOSH Compliant • 100% HRD Corp Claimable (SBL) • e-Invoice Available
+6011-5961 7526
Sam@LearnFirstAid.my
Booking Confirmation
Course Booking Request
YOU ARE ABOUT TO BOOK FOR A CLASS — THIS IS NOT A QUOTATION
Class Booking Form
1. Corporate Information
Company Name
*
Company Registration No. (New – 12 Digits)
*
Company Registration No. (Old – Optional)
Tax Identification Number (TIN)
*
SST Registration No.
*
MSIC Code (Malaysia Standard Industrial Classification)
*
Official Business Address
*
2. Person in Charge (PIC) Details
PIC Full Name
*
Job Title / Designation
*
PIC Contact Number
*
PIC Email Address
*
3. Training Details
Select Training Course
*
— Select a Course —
Basic Occupational First Aid, CPR and AED (PBFA)
Introduction to First Aid, CPR and AED (PIFA)
Basic Life Support (BLS)
CPR and AED (2 Hour Course)
First Aid Talk (4 Hour Course)
Preferred Training Venue
*
— Select Training Venue —
In-House Training (At Client’s Location)
At Provider’s Training Premise
Other External Location
Training Venue Address
*
Preferred Training Date
*
Please enter date in
DD-MM-YYYY
format (e.g. 25-10-2026).
Number of Attendees (Pax: 10–100)
*
4. Confirmation & Acknowledgement
We require an official E-Invoice for this booking.
I have read, understood, and accept the Terms and Conditions governing this course registration.
*
I acknowledge that submitting this form constitutes a binding booking request for a course, not a quotation.
*
Confirm Class Booking
