Register for E-Learning Training Exemption

This e-Service will take about 10 minutes to complete.

This registration will take about 1 days to process.

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  Part 1 of 2 - Registration Form  
DETAILS OF CLINIC
Clinic / Facility Name & Address
Click on "Select Clinic" button to search and select the clinic.
 
HCI Code::


DETAILS OF TRAINED STAFF 1
Name:
NRIC / Passport No.:
Contact No.:
Email:
Attended Course:










Clinic the staff is attached to at time of training
Click on "Select Clinic" button to search and select the clinic.
 
DETAILS OF TRAINED STAFF 2
Name:
NRIC / Passport No.:
Contact No.:
Email:
Attended Course










Clinic the staff is attached to at time of training
Click on "Select Clinic" button to search and select the clinic.