Safety Seminar 2013 Preview Video httpv://www.youtube.com/watch?v=66woHt6iMpc&feature=youtu.be Register your interest now! Date 16th April 2013 Time 9.00am - 5pm Where InterContinental Kuala Lumpur Tulip Room 165 Jalan Ampang, 50450 Kuala Lumpur, Malaysia Please fill up the form below to register for the Safety Seminar 2013. First Name Last Name Date of Birth 1234567891011121314151617181920212223242526272829303112345678910111219001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988199920002001200220032004200520062007200820092010201120122013 Contact Number Email (required) Company Designation Please note that as there are limited seats, your registration will not be confirmed until you receive an email from us. For more information, please contact Miss Steffi Lim Tel: +60(12) 6321 682 Email: steffilim@phoenixcontact.com.my