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Sample Form
NON AWARD COURSE FOR REFUND PURPOSE
FOR MQA REGISTERED TRAINING INSTITUTION (RTI)
1.IDENTIFICATION AND CONTACT DETAILS
BRN:
Name of Registered Training Institution (as registered with MQA):
Tel (office):
Tel (mobile):
Name of contact person (can be either Manager or Programme Officer as listed at MQA):
Surname
Firstname
E-mail address (for all correspondences from HRDC):
2.COURSE TITLE
Course Title:
(Note: Course title on Certificate of Attendance/Letter of Attestation should be the same as above)
Tentative Start Date of Course:
(Should be at least 10 working days prior to start of the course)
Course Category
Compliance including legal aspects
Diversity/sensitivity
Formal courses leading to certification or degrees
General conferences /seminars
Human Resources e.g. performance management, change management
Good governance
Interpersonal skills including team work
Basic ICT Skills training (e.g. word, excel,..)
Languages training (English, French, Italian, Mandarin,..)
Leadership / Management /supervisory
Literacy
Marketing or sales training (e.g. customer experience, product knowledge)
Problem-solving including decision making, systems training
Productivity and Innovation
Professional training (e.g. ACCA, ICSA, ..)
Project management skills
Quality Training
Safety training
Soft Skills Training including communication
Specific technical skills that are specialised to the sector of operation
Strategic management training
Systems training
Technology Training
3. COURSE DETAILS
Learning Outcome 1
e.g (The Participant should be able to develop a pivot table.)
Learning Outcome 2
e.g (The Participant should be able to do a mail merge.)
Learning Outcome 3
e.g (The Participant should be able to design plan on Autocad.)
Course Outline
No. Of Contact hours
Trainer NIC/Passport Number
Main Topics
Sub Topics
Add Course
Total No. of Contact hours
Course Type:
Short Course
Conference/Seminar/Workshop
Structured On-Line
Live On-Line
Target Occupational Group
e.g (CEO, Manager, Accountant, HRM, etc...)
4. Course Fee
Course Fee per participant (Rs)
Cost Structure per participant
Detailed Cost
Amount (Rs)
Add Cost
Note: For franchises, copyright, IPR among others to include name of institution and country
5. DOCUMENTS TO BE SUBMITTED
Copy of valid Certificate of Registration of Training Institution
Duly signed agreement with trainer(s)
6. Trainer Profile
(Please fill in the fields below for each indicated trainers as mentioned in the course details section.)
Trainer 1 profile
NIC Number
First Name
Last Name
Mobile Number
Email Address
Qualification
e.g (Msc Computer Science, Bsc IT)
Relevant Training Experience
e.g (2010-2013 XYZ Training Ins, 2014-2019 ABC Training Ins)
Employment Experience
e.g (2009-2013 IT Admin Test Co Ltd, 2014-2019 IT Manager ABC Co Ltd)
Add Trainer
7. GENERAL NOTES & ATTACHMENTS
This form is applicable to MQA registered Training Institutions intending to offer non-award courses locally.
Incomplete, inadequate or inaccurate submission of the form may result in the form being rejected.
The HRDC reserves the right to seek additional information/documentation from the Registered Training Centre.
It is an offence to give false information or to conceal any relevant material information in this form.
8. DECLARATIONS
We declare that:
There has been no infringement to the Copyrights Act as regards to the contents of the course
The Trainer is competent to deliver the training as per the skills needs of the organisation; and
The facts stated in this form and the accompanying information are true and correct to the best of our knowledge and that I have not withheld/distorted any material fact.
AGREE & SUBMIT