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Koha Local Premise Implementation Form

Your Name *

Your Email *

Contact Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Extra Requirement?(optional)

Fill In The Details Below

Your Name (*)

Your Email (*)

Your Phone Number (*)

Your Company Name (*)

Training Code - KOHA User Training (you can choose one or more training code)
Code: LSM-K-101Code: LSM-K-101-1Code: LSM-K-101-2Code: LSM-K-101-3Code: LSM-K-101-4Code: LSM-K-101-5Code: LSM-K-101-6Code: LSM-K-101-7Code: LSM-K-101-8Code: LSM-K-101-9Code: LSM-K-101-10

Training Code - KOHA Admin Training (You can choose one or more training course)
Code: LSM-K-201Code: LSM-K-201-1Code: LSM-K-201-2

Training Code - KOHA Installation & CSS Training (You can choose one or more training course)
Code: LSM-K-301-1Code: LSM-K-301Code: LSM-K-302

Targeted Training Date (*) Format: yyyy-mm-dd

Your Message (optional)

Note: (*) are the required fields.
Must choose at least one course before submitting the training course request.

Complete the Form

Your Name (*)

Your Email (*)

Contact Number (*)

Library's Name (*)

Address (*)

Extra Requirement? (optional)

Prefer URL? Such as https://library.edgetech.edu.my

Note: (*) are the required fields.