ASSE GCC HSE Excellence Award Online Application

Please pay the required registration fees by cheque/drafts/bank transfer. The beneficiary details follows:

Beneficiary Name: Kuwait Society of Safety Engineers
Account No: 0600077532001
Bank: Al-Ahlia Bank of Kuwait, Head Office

In case of bank transfers, kindly send us the proof of payment by email to assekuwait@hotmail.com.

A) Please provide organization/company information:
Organization/Company Name:
Industry Sector:
Postal Address 1:
Postal Address 2:
Postal/Zip Code:
City:
State/Province:
Country:
Size Category: More than 1000 Employees
Less than 1000 Employees

B) Please provide the contact information for the person who should receive all correspondence.
Contact Person Name:
Job Title:
Email:
Phone (w/ country code)
Cell Phone:
Fax (w/ country code)

C) Application authorized by:
Name:
Designation:

D) Brief narration of Company/Organization's achievements during the Performance/Award Year: