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Candidate Registration form

Course Location / Virtual Training


Venue:

Course Start Dates: June 19, 2020 Photograph


Course End Dates: July 03, 2020

Course Title: NEBOSH IGC Exam Dates:

Applicant Details

Full Name*: HALEEM UR RASHID


(in Block Letters)
May 15, 1985 NATIONALITY:* Pakistani
Date of Birth*

Address*: Jarnil Gul Hardware & Paint Store,


Bangash Market, City: Sadda,
District: Kurram Agency, Pakistan POSTAL CODE*: 26290

Tel. No*: +966 580501304 Alternate Tel. No: +92 302 8857899

Email ID*: haleem.sas@gmail.com

Company*: PETROJET - KSA

Designation*: Deputy Environment, Health & Safety Manager

Education*: Bachelor of Computer Science (BCS Hons)

Experience*: More than 10 Years

Special Needs comments(if any):

Candidate (Name
HALEEM UR RASHID
& Signature): *
Date:
July 04, 2020
*Mandatory Requirements

Form No: PNGIT‐01 Rev: 04 Date: Nov 23, 2016 Page 1 of 1

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