SkillPul® ENVIRONMENTAL HEALTH SERVICES – FUMIGATION-PEST CONTROL AND DISINFECTION TRAINING REQUEST FORM

Please fill this form for your Training on “Pesticides/disinfectants applications, dosages and allowable limits, MSDS and SHOC, Practical Monitoring and supervision techniques in fumigation and disinfection, etc” as in the course contents.

    1. PERSONAL INFORMATION

    Email:*

    First Name:*

    Last Name:*

    Name of Company/Organization:

    Your Position/Rank:

    Phone Number:*

    Address:*

    City:*

    Country:*
    Please note that your information above will not be used for any other purpose except for SkillPul® training and communications with SkillPul® partners and affiliates.


    2. TRAINING/SKILLS DEVELOPMENT AND CAPACITY BUILDING INFORMATION

    a. Please confirm that you are registering for a FUMIGATION-PEST CONTROL AND DISINFECTION practical course as in the course contents attached.*
    I confirm

    b. Please confirm you have read through the Course contents and agreed to pay and get the training.*
    I confirm

    c. What is the highest level of your education?

    d. Did you get an online or offline training from Macjames SkillPul (www.skillpul.com)
    Online YesNo
    Offline YesNo
    If yes, provide your ID/Username:

    Please note that by completing this form you have agreed to pay SkillPul a stated amount of fee(s) as the FUMIGATION-PEST CONTROL AND DISINFECTION TRAINING /CONSULTANCY fee(s) you requested for 30 days maximum training duration including follow-up. There will be no refund of fee(s) after payment except in any case of force majeure that prevents SkillPul from delivering the training as scheduled according to the agreed dates and time that elapsed for more than 30 days. A Skill Acquisition Certificate will be issued to you at the end of the training.

    One-On-One Online Training Fee: 600,000 Naira (1,200 USD)