Registration » MINER SAFETY TRAINING

We require Registration and Training Fees payment, to confirm your participation.

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Select Type of Training *

Select the type of training for this training session date

Training Session Date *

Type your preferred date to take this training

Number of Participants *

Number of participants in this training session date

Country *

Payment Method/Mailing Address Country

Company Name

If you are a contractor at the mine, TYPE THE BUSINESS NAME.

Trainee Name *

TYPE THE TRAINEE'S NAME. For several participants from the same company, use the Trainees Group Information Box and TYPE the NAME and EMAIL addresses

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Where the 5000-23 certificate will be mailed

Phone *

Email *

Trainees Group Information

TYPE trainees group names and email addresses here

Website

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