23 January 2019 Uncategorized Training Delegate Registration Training Delegate Registration Welcome!We would love to deliver quality performance and provide excellent service. In order for us to do that, please assist us by providing all the required information below.VERY IMPORTANTPLEASE BE SURE TO COMPLETE THIS FORM FULLY AND WITH THE CORRECT INFORMATION AND DETAIL AS THIS INFORMATION WILL BE USED TO ISSUE YOUR CERTIFICATE FOR THIS COURSE. If your information is not correct or incomplete, you will not receive a certificate for this course. Thank you.Date* Day Month Year Training Course* Adroit Online Training Adroit Basic Classic UI Adroit Advanced Classic UI Adroit Basic SmartUI Adroit Advanced SmartUI Adroit Report Suite and Alarm Management Adroit SCADA Intelligence Adroit Performance Anywhere Mitsubishi Adroit Process Suite (MAPS) Adroit EMS Administrator Training Adroit EMS Operator Training Basic Variable Speed Drives (VSD) Advanced Variable Speed Drives (VSD) Basic and Advanced Variable Speed Drive (VSD) Mitsubishi FX Series Basic Mitsubishi FX Series Advanced Mitsubishi Q Series Basic Mitsubishi Q Series Intermediate Mitsubishi Q Series Advanced Course Start Date* Day Month Year Your DetailsPlease enter your information here so that we are able to reach you after the course for your certificate.Name* Name Surname Contact Details* Job Title / Designation * Telephone No * Email * Identity Number* Company Name * Your Supervisor / Manager* Name & Surname * Job Title / Designation * Telephone No * Email * Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Have you done any other training with us before? Yes No Previous training completed * None Completed Previously - Adroit Basic Classic UI Previously - Adroit Advanced Classic UI Previously - Adroit Basic SmartUI Previously - Adroit Advanced SmartUI Previously - Adroit Report Suite and Alarm Management Previously - Adroit SCADA Intelligence Previously - Adroit Performance Anywhere Previously - Mitsubishi Adroit Process Suite (MAPS) Previously - Environmental Management System (EMS) Previously - Adroit EMS Administrator Training Previously - Adroit EMS Operator Training Previously - Basic Variable Speed Drives (VSD) Previously - Advanced Variable Speed Drives (VSD) Previously - Basic and Advanced Variable Speed Drive (VSD) Previously - Mitsubishi FX Series Basic Previously - Mitsubishi FX Series Advanced Previously - Mitsubishi Q Series Basic Previously - Mitsubishi Q Series Intermediate Previously - Mitsubishi Q Series Advanced Do you have any previous PLC / VSD and SCADA experience? No Experience VSD Experience PLC Experience SCADA Experience M2M Experience Environmental Management Administrator Experience (EMS) Environmental Management Operator Experience (EMS) Alarming and Reporting Experience I hereby agree that I will be entering the Adroit premises and participating in this training course entirely at my own risk.* Accept The Directors, Management, Employees and Agents accept no responsibility for any loss or damage whatsoever that may be suffered by you, your vehicle, your property or any third party's property regardless of how such loss or damage was caused.Thank You!Thank you for booking your training with us! We will contact you shortly to confirm your booking.
