Falck Safety Services

Quality Management System

Training Course Booking Form

Please complete this Booking form and Email it to :

Ms. Anthika (info@th.falcksafety.com)

Note: Falck Nutec Thailand Limited is the trading company name of the Falck Safety Services (hereinafter referred to as

or

Fax it to Falck Safety Services. at

Fax No. :

+66 (0)2-703-9446.

PART I - Compulsary Section to be filled in

Company / Invoicing information

Company Name
:
Company Address
:
Invoice Attention to
:
FSST Quotation No.
:
Company P.O. / S.O. / W.O. No.
Payment Mode
:

Training coordinator information

Contact Person
Contact No.
Fax No.

:
:
:

Email Address :
Mobile No.
:

Contact in case of emergency

Contact Person
Mobile No.

:
:

Booking information

Course Title
Course Date

:
:

PART II - Participant(s) information

Nationality
No.

(Just tick the box

if Thai National)

Name

Tick if
Thai

D.O.B.
(DD/MM/YYY
Y)

1
2
3
4
5
6
7
8
9

Please note that Course Certificate(s) will be issued according to the name(s) and date(s) of birth given abo
USD 16/THB 500 per cert. shall be applicable for changes of name or D.O.B on the certificate from the abov
Subject

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Procedures Manual

Chapter

Training Course Bookings

Docement Code

PM-FM-07-04A01(T)

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PART III - Support Services required :

Kindly tick / select where applicable with reference to "Information on Pick up Services & Hotels"

Accommodation
Required?

Room(s) Type(s) :

Check-in date :

(DD/MM/YY)

No. of room

Check-out date:

(DD/MM/YY)

No. of night

Twin-sharing (Charges are at

Single

Triple -sharing (Charges are at

multiple of

multiple of 2 persons)

Dinner Required?
Pick-up Service
Required?

Vehicle Type :

3 persons)

To:

From:

Pick-up point:

Pick-up time & date :

Return Point:

Return time & date :

Van

Car

Terms & Conditions:

Please note that only fully completed Booking Form will be processed. Work Order and Purchase Order must be attached together with thi

1) Payment
:
Upon confirmation of course

2) Cancellation Charges for all courses except ER42, ER42P and ER43P (B) (refer T&C #3 below):
a)

Cancellation made within 48 hours (2 working days) 30% of course fee will be imposed.

b) Cancellation made within 24 hours (1 working day) from 1st day of training, 50% of course fee,
full one way pick up service cost and one day of hotel stay (if applicable) will be imposed.
c) No show/cancellation made on the 1st day of training, 100% of course fee, 1 way pick up and
1 night hotel rate will be imposed.
3) Cancellation Charges for
ER42
Management of Major Emergencies
ER42P
Major Emergency Management Initial Response Training (Opito)
ER43P(B)
Major Emergency Management Initial Response Training (Opito) with OIM Controlling
Emergencies (Opito)
a) Cancellation within 10 working days from the date of training, 100% of course fee will be imposed.
b) Cancellation within 24 hours (1 Working day) from 1st day of training, or No Show / Cancellation made
on the 1st day of training, in addition to charges 3 (a) above , 1 way pick up and 1 night hotel rate will be
imposed.
4) Cancellation notice:

Cancellation notice must be made in writing and received by FSST on a working day.

Cancellation notice received on Saturday, Sunday or Public Holiday shall be considered as received on
next working day.
5) Booking by way of Purchase Order/Service Order/Work Order is acceptable with the condition that full booking information is clearly stated
inclusive of the course fee. Further to that, the terms and conditions under this form shall apply.
6) In the absence of FSST's quotation, Course & Support Services will be charged in accordance with Falck Safety Services standard rates.

Company's
official stamp

Company's Authorised Signature & Stamp

Name
:
Designation
Date

:
:

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Falck Safety Services

Quality Management System

Terms and Conditions - FSST training courses at Centre

1. Application
Unless specifically waived or otherwise agreed in writing between the parties, the
following terms and conditions (Terms and Conditions or Agreement) shall
apply to all registrations and agreements for training courses to be held on sites
owned (including sites leased or otherwise occupied) by Falck Nutec Thailand Ltd
(Falck Safety Services) or any of its associated branches or companies.
2. Registration and order confirmation
The booking of a place on a training course shall be deemed to be
accepted upon written confirmation from Falck Nutec or upon the other partys,
whether a corporate or self sponsored client (the Client), written acceptance of
Falck Safety Services quotation.

Upon the booking of a training course, these Terms and Conditions shall govern the
relationship between Falck Safety Servicesc and the Client. The Client shall procure
that all persons (whether its employees, agents, consultants or subcontractors)
attending a training course booked by the Client, or the Client itself in the case of a
self sponsored client, (a Participant) shall act in accordance with and fully
comply with these Terms and Conditions.

3. Fees and payment

The fees for standard training courses are set out in the Falck Safety Services price
list in force from time to time and available upon request.

Written quotations of Falck Safety Services shall be valid for a period of 30 days
from the date on which they are given, or other validity period as stated in the
quotation but Falck Safety Services may withdraw such quotation at any time.
Applicable fees are stated in the quotation and shall be payable in the local
currency unless otherwise indicated.

All prices are exclusive of THB and any other taxes which shall be payable in
addition to the fees at the prevailing rate(s) where applicable.

The fees include the cost of course materials, course facilities and equipment
unless otherwise agreed.

The Client shall pay each invoice submitted to it by Falck Safety Services in full and
without withholding or deduction and in cleared funds, within 30 days of receipt of
the invoice or as otherwise stated in the invoice.

Without prejudice to any other right or remedy that it may have, in the event of
failure by the Client to pay Falck Safety Services on the due date, Falck Safety
Services may charge interest on such sum from the due date for payment at
monthly rate of 1.25%, accruing on a daily basis and being compounded monthly
until payment is made.
4. Cancellation policy
The Client may give notice to Falck Safety Services that it no longer requires the
bookings on a training course provided such notice is in writing and received by
Falck Safety Services at least 48 hours (2 working days) prior to commencement of
the training course. In such circumstances, Falck Safety Services shall refund to
the Client all monies paid in respect of such training course less a standard
administration fee. If notice of cancellation has not been received at least 48 hours
(2 working days) prior to commencement of the course or a Participant fails to
attend a training course for any reason whatsoever, all fees payable in respect of
such course shall remain payable to Falck Safety Services .

Falck Safety Services reserves the right to cancel or postpone any training course
for any reason whatsoever and in such event, Falck Safety Services 's liability for
such cancellation shall be limited to a full refund of fees paid or, where available
and acceptable to the Client, transfer to a training course on an alternative date.
5. Complaints
All complaints in respect of a training course should preferably be made in writing
and sent to Falck Nutec within 30 days from the date of the last day of the course in
question.

6. Course certification

A Participant must complete all aspects of a training course to the standard(s)

specified by Falck Safety Services in order to receive course certification. If the
Participant fails to complete any element of a training course, the Participant shall
not be entitled to certification. Any matter relating to the provision of course
certification shall be determined by Falck Safety Services in its absolute discretion.

Subject

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Procedures Manual

Chapter

Training Course Bookings

Docement Code

PM-FM-07-04A01(T)

7. Duplicate certificate

Requests for duplicate certificates must be made in writing to Falck Safety Services by
the sponsoring company or participants in the case of self sponsored participant stating
the relevant training course, date, participant name and date of birth. A charge per copy
certificate will be applicable. This fee must be paid in advance of the duplicate certificate
being issued.

8. Accommodation & transportation

If requested and if available, Falck Safety Services will assist with transport and
accommodation arrangement. Falck Safety Services accepts no responsibility for the
provision of such information and shall not be liable for any losses (direct, indirect,
consequential or otherwise) arising from any arrangement between the Client or
Participant and the provider of such accommodation and transportation.

9. Health and safety

The Client must procure that each Participant shall at all times during the training course:

a) act in full compliance with all applicable health and safety legislation, regulations and
policies;

b) follow all instructions or directions given by Falck Safety Services personnel; and

c) not be under the influence or in possession of alcohol or illegal substances.

If any Participant fails to act in accordance with the above requirements or is reasonably
believed to have taken or used any illegal substances or alcohol, Falck Safety Services
may, in its absolute discretion, require such Participant to leave the training course.
Falck Safety Services will inform the Client of any such event. In such event, no fees or
payments shall be reimbursed to the Client for the Participants failure to complete the
training course.

Each Participant shall, and the Client shall procure that the Participant shall, read and
understand Falck Safety Services 'sInformation for Participants attending training
courses at Falck Safety Services training centres before participating in the training
course.

It shall be the Clients sole responsibility to ensure that Participants are sufficiently fit and
able, including being free from respiratory disorders and heart disease, to participate in
any physical activity forming part of the training course. If in doubt, it is recommended
that Participants seek appropriate medical advice prior to commencement of the training
course. Falck Safety Services reserves the right to refuse to provide training courses to
any Participant when it considers such Participants involvement may pose a risk to the
Participants own health and safety or the health and safety of others.

10. Data Protection

The Client and Participant agree that Falck Safety Services is permitted to hold personal
information about the Participant as part of its personnel and other business records and
Falck Safety Services may process such information as part of Falck Safety Services 's
business. The Client and Participants agree that Falck Nutec may disclose such
information to third parties only if and to the extent that such disclosure is, in Falck
Safety Services 's view, required for the proper conduct of Falck Safety Services 's
business or that of any subsidiary, associated or holding company/ies of Falck Safety
Services 's. This clause applies to information held, processed or disclosed in any
medium.

11. Intellectual property rights

All copyright, design rights and any other intellectual property rights (registered or
unregistered) used, created or embodied in or arising out of or in connection with the
delivery of the services shall remain the sole property of Falck Safety Services and the
Client and Participant shall not during, or at any time after, the completion of the training
course assert ownership of or dispute Falck Safety Services 's ownership of such rights
and shall assign to Falck Safety Services such rights to come into its possession.

All materials and information (in whatever form) provided by Falck Safety Services to the
Client or a Participant in connection with the services may not be copied, distributed or
be made available to any third parties. The Client and the Participants shall not use such
material and information for any reason which is not connected to the training course or
the Services provided by Falck Nutec.

A Participant is, subject to the previous paragraph, entitled to retain for their personal
use the training course materials that are provided to them for this purpose. Any other
materials relating to the training course (in whatever format) provided to the Client or a
Participant shall be returned to Falck Safety Services on the earlier of the completion of
the training course or

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Falck Safety Services

Quality Management System

upon request by Falck Safety Services . The Client and the Participants shall not
copy or otherwise reproduce any materials (including training course materials)
provided by Falck Safety Services without Falck Safety Services prior written
consent.

12. Liability of Clients and Participants

It is the responsibility of the Client to ensure that all sponsored Participants behave
responsibly at all times. Falck Safety Services reserves the right to remove a
Participant from a course without liability if, in Falck Safety Services s reasonable
opinion, the behaviour of a Participant is unacceptable.

The Client or the self sponsored Participant shall be liable without limitation for any
damage to Falck Safety Services 's facilities, including but not limited to
furnishings, premises and equipment, caused by the Participant and resulting from
negligence.

In the event a Participant requires medical treatment or hospitalization the Client, or

Participant in case of self sponsored participants, shall bear all costs for such
medical treatment or hospitalization.

13. Falck Safety Services 's liability and limitation of liability

13.1 This clause 13 sets out the entire financial liability of Falck Safety Services
(including any liability for the acts or omissions of its employees, agents,
consultants and subcontractors) to the Client and/or Participants in respect of:

(a) any breach of this Agreement;

(b) any use made by the Client or a Participant of the services provided to the Client
or a Participant (including any course materials or part of them) (Services); and
(c) any representation, statement or tortious act or omission (including negligence)
arising under or in connection with this Agreement.

13.2 All warranties, conditions and other terms implied by statute or common law
are, to the fullest extent permitted by law, excluded from this Agreement.

13.3 Nothing in this Agreement limits or excludes the liability of Falck Safety
Services :

(a) for death or personal injury resulting from negligence; or

(b) for any damage or liability incurred by the Client or Participant as a result of
fraud or fraudulent misrepresentation by Falck Safety Services .

13.4 Subject to clause 13.3:

(a) Falck Safety Services shall not be liable for:

(i) loss of profits; or

(ii) loss of business; or
(iii) depletion of goodwill and/or similar losses; or
(iv) loss of anticipated savings; or
(v) loss of goods; or
(vi) loss of contract; or
(vii) loss of use; or
(viii) any special, indirect, consequential or pure economic loss, costs, damages,
charges or expenses; and

(b) Falck Safety Services 's total liability in contract, tort (including negligence or
breach of statutory duty), misrepresentation, restitution or otherwise arising in
connection with the performance or contemplated performance of the Services and
this Agreement shall be limited to EUR 650,000.

The Client or Participant shall give notice in writing to Falck Safety Services 's of
any claim in respect of this Agreement as soon as is reasonably practicable and
without any undue delay.

14. Insurance

A person who is not a party to this agreement shall not have any rights under or in
connection with it.

16. Rights of Third Parties

A person who is not a party to this agreement shall not have any rights under or in
connection with it.

17. Severance

If any provision of these Terms and Conditions (or part of any provision) is found by any
court or other authority of competent jurisdiction to be invalid, illegal or unenforceable,
that provision or part-provision shall, to the extent required, be deemed not to form part
of the Agreement, and the validity and enforceability of the other provisions of the
Agreement shall not be affected.

If a provision of these Terms and Conditions (or part of any provision) is found illegal,
invalid or unenforceable, the provision shall apply with the minimum modification
necessary to make it legal, valid and enforceable.

18. Choice of law and venue

These Terms and Conditions and any dispute or claim arising out of or in connection with it
or its subject matter, shall be governed by, and construed in accordance with, the laws of
Thailand.

The parties irrevocably agree that the courts of Thailand shall have exclusive jurisdiction
to settle any dispute or claim that arises out of or in connection with these Terms and
Conditions or its subject matter.

19. Translation

Any local language translation of these Terms and Conditions is provided for the
convenience of the Client and Participant only. In the event of any discrepancy between
the local language version and the English language version, the text of the English
language version shall prevail.

The Client and Falck Safety Services 's shall respectively obtain, maintain and keep
in full force and effect all compulsory and customary insurances.

15. Force majeure

Neither party shall be in breach of these Terms and Conditions nor liable for any
failure or delay in performance of its obligations (other than the obligation to make
payments of money) arising or attributable to acts, events, omissions or accidents
beyond its reasonable control including, but not limited to, acts of God, fire,
explosion, embargo, terrorism, civil disturbance, epidemics, lightning damage,
electromagnetic interference, radio interference, strikes and industrial dispute.

Subject

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Falck Safety Services

Quality Management System

Information for participants

Falck Nutec Thailand Ltd. (Falck Safety Services ) would like to take this
opportunity to welcome you to its courses in practical safety training. We would also
like to provide you with the following information in order for you to be fully prepared
for your course. Please complete and sign the form at the bottom of this sheet to
confirm that you have received, read and understood the information. Please provide
your signed form to your trainer upon arrival.
1. General
Falck Safety Services 's training courses aim to teach the participants how to deal
with dangerous situations which may demand a degree of physical exertion. Falck
Safety Services 's strives to ensure that training courses are conducted safely and
efficiently.

2. Health and fitness

Your state of health could increase the risk involved in participating in a Falck Safety
Services 's training course as a number of courses involve practical training sessions.
Whilst the physical impact of such sessions should not pose a problem for those who
are physically fit, it may pose a problem for anyone who has sustained injuries in the
past or who currently suffers from any illness (e.g. diabetes, epilepsy, heart disease or
mental illness).

Please also note that prolonged periods in the pool may aggravate eczema and other
dermatological conditions.

Further, free-fall lifeboat training, fire fighting and helicopter training in the pool
involves stress on the muscular and skeletal system. Again, this activity should not
pose a problem for the physically fit, but it may aggravate previous injuries or current
problems affecting muscles, tendons or the skeleton (e.g. gout or neck/back injuries).
If you have sustained injuries in the past or currently suffer from any illness or
condition that may increase the risks involved in participating in a Falck Safety
Services 's training course,
please seek appropriate medical advice before commencing any such

course.

3. Swimming ability
Several Falck Safety Services training courses require that participants can swim. If you
cannot swim, or if you consider yourself to be a poor swimmer, you must inform the
course trainer before the course begins. The trainer will take this into consideration and
adapt the training if practically possible.
4. Intoxicating substances and medications
The participants must not be under the influence of any intoxicating substances or
medications which affect alertness during the training course. Any participant suspecte
of being under the influence of any such substance or medication will be excluded from
the training course and his/her employer will be informed accordingly.
5. Safety
Upon arrival you must familiarise yourself with Falck Safety Services 's safety procedur
Your trainer will assist you to do so and if you have any questions, please ask!

6. Liability and limitations of liability

Please refer to sections 12 and 13 of Falck Safety Services 's General Terms and
Conditions applicable to your training course for the liability and limitations of liability
Falck Safety Services 's (attached). Your participation in the course is subject to your
acceptance of these Terms and Conditions.

Falck Safety Services does not accept responsibility for personal property. Cloakrooms
and storage facilities are provided for the convenience of participants only and any goo
deposited in the cloakrooms or storage facilities or left unattended on the premises are
done so at the participant's risk and without any liability towards Falck Safety Services

*****
Please complete this form and provide it to your trainer before the commencement of the training course
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
By signing this form I hereby confirm that I have received, read and understood the "Information for participants" sheet and the Falck Safety Services Gen
and Conditions.

Course:
___________________________________________________________________________
Date from: __________________________________ until: ____________________________________

Name:
___________________________________________________________________________

Employer: ___________________________________________________________________________
(Capitals)

Signature: __________________________ Date: _______________________

Subject

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fter referred to as FSST)

703-9446.

Tick if
Vegetarian
Meal(s)
required

Tick if
you can
speak
English

birth given above .

e from the above.
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No. of rooms:
No. of nights:

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ompany's
fficial stamp

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ck Safety Services by
ored participant stating
birth. A charge per copy
the duplicate certificate

h transport and
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s (direct, indirect,
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Falck Safety Services
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ghts under or in

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articipants can swim. If you

er, you must inform the
this into consideration and

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ation will be excluded from
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course is subject to your

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Safety Services General Terms

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