RETAKE GBI FACILITATOR EXAM

Please complete the form and fax it to

at (03) 2284 8232 or email to us at
zulieya@mgbc.org.my or info@greenbuildingindex.org

1. I’m pleased to confirm that I would like to retake the GBI Facilitator Exam in the section of:

(Please tick √ )
REATTEND
RETAKE CATEGORY EXAM ONLY TOTAL (RM)
COURSE
MCQ
GROUP
Compulsory reattend course
MCQ & GROUP
and sit exam

2. Participant’s Details :
GBIFC Batch / Intake
(Month/Year) :
Name
Mr/Mrs

Profession Architect / Engineer:............................../Surveyor/Other:..……...……….

*Please Circle : (field of study)

Company :

Company Address :

Telephone no. : Fax no. :

E-Mail Address : H/P no. :

Date : Signature :

PAYMENT (For Office Use)

Kindly submit your form at zulieya@mgbc.org.my or

Cash/Cheque No. : ________________ fax at 03-2284 8232
Amount (RM) : ________________
Receipt No. : ________________ e-CONFIRMATION containing payment method
Date of Payment : ________________
details will be sent to your email once your
Note :
application is approved and confirmed.
Any enquiry please contact Ms.Zulieya (MGBC) at 03-2282 8232 or email
zulieya@mgbc.org.my