Custom Data Form
Course Details
Candidate(Fullname):
Candidate ID:
Company:
Course Title:
-- Please select --
a Novice
an Experienced
a Refresher
Course Date:
Number of candidates on the course:
Test Date:
TOP Scheme No:
Machine / Equipment
Machine Type:
-- Please select --
Counterbalance
Pallet Truck Ride-on
Truck Mounted
Power:
-- Please select --
Electric
Diesel
LPG
Make:
-- Please select --
CPDS15J-H
PYD15-XW21F
Lifting Capacity:
-- Please select --
250 kg
500 kg
1000 kg
Lift Truck Group:
-- Please select --
A1
A2
A3
Lift Height used in Test:
Examiner
Examiner:
-- Please select --
name1
name2
name3
Instructor:
-- Please select --
name1
name2
name3
Examiners ID:
Instructors ID:
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